Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013
Federal Register, Volume 78 Issue 155 (Monday, August 12, 2013)
Federal Register Volume 78, Number 155 (Monday, August 12, 2013)
Rules and Regulations
Pages 48995-49059
From the Federal Register Online via the Government Printing Office www.gpo.gov
FR Doc No: 2013-19378
Page 48995
Vol. 78
Monday,
No. 155
August 12, 2013
Part III
Department of Health and Human Services
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Center for Medicare & Medicaid Services
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42 CFR Parts 410, 414, 415, et al.
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013; Final Rule
Page 48996
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 410, 414, 415, 421, 423, 425, 486, and 495
CMS-1590-CN
RIN 0938-AR11
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction of final rule with comment period.
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SUMMARY: This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on November 16, 2012, entitled ``Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013.''
DATES: The correcting document is effective August 12, 2013 and is applicable beginning January 1, 2013.
FOR FURTHER INFORMATION CONTACT: Elliott Isaac, (410) 786-4735.
SUPPLEMENTARY INFORMATION:
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Background
In FR Doc. 2012-26900 of November 16, 2012 (77 FR 68892 through 69373), there were a number of technical errors that are identified and corrected in the Correction of Errors section below. These corrections are effective January 1, 2013. We note that the Addenda A through H for the CY 2013 PFS final rule with comment period as corrected in this correction notice are available on the CMS Web site at www.cms.gov//PhysicianFeeSched/.
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Summary of Errors
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Summary of Errors in the Preamble
On pages 68904 through 68906, in Table 3: Calculation of PE RVUs under Methodology for Selected Codes, the PE RVUs listed in the table are incorrect.
On page 68907, in our discussion of the changes to direct PE inputs for specific services, we made a typographical error in identifying the calendar years.
On page 68957, in our discussion of Medicare telehealth services, we inadvertently omitted a discussion of psychotherapy services.
On page 68958, in our discussion of therapy services, we inadvertently omitted language regarding the claims-based data collection strategy for therapy services.
On page 68965, we inadvertently omitted language in our discussion on non-payable G-codes on beneficiary functional status.
On page 68966, we inadvertently included language.
On pages 68967 and 68968, we inadvertently made errors in the descriptors for G-codes in Table 21: G-Codes for Claims-Based Functional Reporting for CY 2013.
On page 69033, we inadvertently omitted a code-specific direct PE input.
On pages 69042 and 69043, in our discussion of the global period for CPT code 22586, we made a typographical error in the code descriptor.
On page 69051,
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We inadvertently used the wrong descriptor for CPT 36221.
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We inadvertently omitted two paragraphs regarding our treatment of CPT codes 37197 and 37214.
On pages 69071 through 69073, we made clerical errors in table references.
On page 69074, in our discussion of pricing supply and equipment items, we inadvertently omitted a paragraph detailing the items for which we did not receive adequate information and therefore could not price them for the interim final values in the CY 2013 rule.
On pages 69077 through 69128, we made numerous typographical errors and technical errors in Table 74: CPT Codes with Refined direct PE Recommendations for CY 2013 Interim Codes and therefore are correcting the table.
On page 69138, we made typographical errors in the CY 2013 PFS conversion factor (CF).
On page 69138, we made typographical errors in the CY 2013 PFS CF in Table 87: Calculation of the CY 2013 PFS CF.
On page 69139, in Table 88: Calculation of the CY 2013 Anesthesia CF, we inadvertently listed the incorrect anesthesia CF.
On page 69145, we inadvertently referred to ``physician's order'' instead of ``valid prescription.''
On page 69212, due to a typographical error, the title of PQRS Measure 190 referred to in the comment bullet was not correct.
On pages 69215 through 69267, the notes after Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014* were inadvertently omitted.
On page 69237, in Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, due to a typographical error, Measures 189 and 190 were incorrectly listed as available for reporting under PQRS.
On page 69269, in Table 96: PQRS Quality Measures Available for Reporting for Group Practices Using the GPRO Web Interface for 2013 and Beyond, due to a typographical error, the description of the measure ``Medication Reconciliation'' is incorrect.
On page 69277, in Table 108: HIV/AIDS Measures Group, due to a clerical error, there are measures listed that have lost their NQF endorsement and are therefore no longer being maintained by the respective measure owner.
On page 69300, due to a clerical error, we stated the deadlines for requesting an informal review for the 2012 and 2013 eRx incentives incorrectly. The regulation at Sec. 414.92(g) correctly states that eligible professionals and group practices must submit an informal review request for the 2012 and 2013 incentives within 90 days of the release of the feedback reports. The preamble does not reflect this same regulation text. Therefore, we are revising the preamble to reflect the regulation text at Sec. 414.92(g).
On pages 69344 through 69345, in Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty, due to technical errors in the calculations of the impacts, there were errors in the total estimated impacts and the estimated impacts for the following specialties: 01--ALLERGY/IMMUNOLOGY, 02--
ANESTHESIOLOGY, 10--FAMILY PRACTICE, 13--GENERAL SURGERY, 18--INTERNAL MEDICINE, 19--INTERVENTIONAL PAIN MANAGEMENT, 21--MULTISPECIALTY CLINIC/OTHER PHY, 34--PLASTIC SURGERY, 41--UROLOGY, 49--NURSE ANES/ANES ASST.
On page 69345, at the end of Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty, we made clerical errors in the first footnote.
On pages 69347 through 69348, in Table 135: CY 2013 PFS Final Rule with
Page 48997
Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy, due to technical errors in calculations of the impacts, there were errors in the estimates of the total impact and on the impact for the following specialties: 01--ALLERGY/IMMUNOLOGY, 02--
ANESTHESIOLOGY, 13--GENERAL SURGERY, 18--INTERNAL MEDICINE, 19--
INTERVENTIONAL PAIN MANAGEMENT, 21--MULTISPECIALTY CLINIC/OTHER PHY, 41--UROLOGY, 49--NURSE ANES/ANES ASST.
On page 69348, at the end of Table 135: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy, we made a clerical error in the first footnote.
On page 69350 through 69351, in Table 136: Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures, we made technical errors in the calculation of the impacts.
On page 69351, in footnotes 3 and 4 at the end of Table 136: Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures, we inadvertently listed the incorrect 2012 conversion factor.
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Summary and Correction of Errors in the Addenda on the CMS Web site
Technical errors in the creation of the direct practice expense database resulted in incorrect direct PE inputs for CPT codes: 11307, 11313, 13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133, 13150, 13151, 13152, 31231, 32554, 32555, 32556, 32557, 35475, 35476, 36221, 36222, 36223, 36224, 36225, 36226, 37197, 52224, 64612, 65800, 72040, 72050, 72052, 72069, 72193, 72194, 74160, 74170, 74177, 74178, 76872, 77301, 92081, 92082, 92083, 92235, 92286, 93925, 93970, 95010, 95015, 95017, 95018, 95782, 95783, and 97150. As a result of these errors, the budget neutrality adjustment used in calculating PE RVUs was incorrect, resulting in incorrect values for other PE RVUs in Addenda B and C. These errors are corrected in the revised Direct PE Input Database available on the CMS Web site at www.cms.gov//PhysicianFeeSched/. Resulting changes to PE RVUs are reflected in the corrected Addenda B and C posted on the CMS Web site at www.cms.gov//PhysicianFeeSched/.
Due to a technical error, although the physician time records for CPT codes 22841, 51798, 95990, 96913, and 97602 were properly removed from the physician time file per final policy discussed in the CY 2013 final rule with comment period (77 FR 68926), these time records were inadvertently used in the creation of the PE RVUs. This technical error is corrected in the revised CY 2013 Addendum B posted to the CMS Web site at www.cms.gov//PhysicianFeeSched/.
Due a technical error in applying a change made in the final rule in calculating the impact of the ophthalmology MPPR used in the PE methodology, as described on page 68901, the ``CY 2012 Utilization data Crosswalk to CY 2013'' file posted on the CMS Web site contained errors. This also resulted in errors in Addenda B and C files posted on the CMS Web site. These addenda have been corrected as a result of the changes made in this correction notice and the corrected Addenda B and C files are posted on the CMS Web site. www.cms.gov//PhysicianFeeSched/
.
Due to a technical error in calculating the anesthesia inputs, the PE RVUs for all services reflected in Addenda B and C posted on the CMS Web site were inaccurate. Resulting changes to the PE RVUs are reflected in the corrected Addenda B and C.
Due to a technical error, in Addendum B, row 8744 containing CPT/
HCPC 92287 did not list RVUs for use with both the TC and 26 modifiers. The corrected Addendum B, which is posted on the CMS Web site at www.cms.gov//PhysicianFeeSched/, includes these services and related information.
Due to a technical error in Addendum B, row 9180 containing CPT/
HCPC 93657 did not list a PE RVU. The corrected Addendum B, which is posted on the CMS Web site at www.cms.gov//PhysicianFeeSched/ reflects this change.
Due to a technical error in the posting of Addendum C, the ``NA'' flags did not display for services when either the facility or nonfacility setting did not contain a value. The corrected Addendum C, which is posted on the CMS Web site at www.cms.gov//PhysicianFeeSched/, reflects the ``NA'' flags for services that are not valued in the indicated setting.
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Waiver of Proposed Rulemaking
We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.
Section 553(d) of the APA ordinarily requires a 30-day delay in the effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued.
This document merely corrects typographical and technical errors in the preamble and addenda of the CY 2013 Physician Fee Schedule final rule with comment period. The provisions of that final rule with comment period have been subjected to notice and comment procedures. The corrections contained in this document are consistent with, and do not make substantive changes to, the policies and payment methodologies that were adopted in the CY 2013 PFS final rule with comment period. As a result, the corrections made through this correcting document are intended to ensure that the CY 2013 PFS final rule with comment period accurately reflects the policies adopted in that rule. Therefore, we find for good cause that it is unnecessary and would be contrary to the public interest to undertake further notice and comment procedures to incorporate the corrections in this document into the CY 2013 PFS final rule with comment period. For the same reasons, we find that there is good cause to waive the 30-day delay in the effective date for these corrections.
Further, we believe that it is in the public interest to ensure that the CY 2013 PFS final rule with comment period accurately reflects our policies as of the date they take effect. Therefore, we find that delaying the effective date of these corrections beyond the effective date of the final rule with comment period would be contrary to the public interest. In so doing, we find good cause to waive the 30-day delay in effective date.
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Correction of Errors
In FR Doc. 2012-26900 of November 16, 2012 (77 FR 68892), make the following corrections:
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Correction of Errors in the Preamble
1. On pages 68904 through 68906, in Table 3: Calculation of PE RVUs Under Methodology for Selected Codes, the table is corrected to read as follows:
Page 48998
Table 3--Calculation of PE RVUS Under Methodology for Selected Codes
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33533 CABG,
99213 Office arterial, 71020 Chest x- 71020-TC Chest 71020-26 Chest 93000 ECG, 93005 ECG, 93010 ECG,
Step Source Formula visit, est single ray x-ray x-ray complete tracing report
nonfacility facility nonfacility nonfacility nonfacility nonfacility nonfacility nonfacility
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(1) Labor cost (Lab).............. Step 1............... AMA................. ............... 13.32 77.52 5.74 5.74 0.00 6.12 6.12 0.00
(2) Supply cost (Sup)............. Step 1............... AMA................. ............... 2.98 0.00 3.39 3.39 0.00 1.19 1.19 0.00
(3) Equipment cost (Eqp).......... Step 1............... AMA................. ............... 0.17 0.58 7.24 7.24 0.00 0.11 0.11 0.00
(4) Direct cost (Dir)............. Step 1............... .................... =(1)+(2)+(3) 16.48 78.10 16.38 16.38 0.00 7.42 7.42 0.00
(5) Direct adjustment (Dir. Adj.). Steps 2-4............ See footnote*....... ............... 0.5973 0.5973 0.5973 0.5973 0.5973 0.5973 0.5973 0.5973
(6) Adjusted Labor................ Steps 2-4............ =Labor * Dir Adj.... =(1)*(5) 7.96 46.30 3.43 3.43 0.00 3.66 3.66 0.00
(7) Adjusted Supplies............. Steps 2-4............ =Eqp * Dir Adj...... =(2)*(5) 1.78 0.00 2.03 2.03 0.00 0.71 0.71 0.00
(8) Adjusted Equipment............ Steps 2-4............ =Sup * Dir Adj...... =(3)*(5) 0.10 0.35 4.33 4.33 0.00 0.06 0.06 0.00
(9) Adjusted Direct............... Steps 2-4............ .................... =(6)+(7)+(8) 9.84 46.65 9.78 9.78 0.00 4.43 4.43 0.00
(10) Conversion Factor (CF)....... Step 5............... PFS................. ............... 34.0376 34.0376 34.0376 34.0376 34.0376 34.0376 34.0376 34.0376
(11) Adj. labor cost converted.... Step 5............... =(Lab * Dir Adj)/CF. =(6)/(10) 0.23 1.36 0.10 0.10 0.00 0.11 0.11 0.00
(12) Adj. supply cost converted... Step 5............... =(Sup * Dir Adj)/CF. =(7)/(10) 0.05 0.00 0.06 0.06 0.00 0.02 0.02 0.00
(13) Adj. equipment cost converted Step 5............... =(Eqp * Dir Adj)/CF. =(8)/(10) 0.00 0.01 0.13 0.13 0.00 0.00 0.00 0.00
(14) Adj. direct cost converted... Step 5............... .................... =(11)+(12)+(13) 0.29 1.37 0.29 0.29 0.00 0.13 0.13 0.00
(15) Work RVU..................... Setup File........... PFS................. ............... 0.97 33.75 0.22 0.00 0.22 0.17 0.00 0.17
(16) Dir--pct..................... Steps 6,7............ Surveys............. ............... 0.31 0.18 0.31 0.31 0.31 0.31 0.31 0.31
(17) Ind--pct..................... Steps 6,7............ Surveys............. ............... 0.69 0.82 0.69 0.69 0.69 0.69 0.69 0.69
(18) Ind. Alloc. Formula (1st Step 8............... See Step 8.......... ............... ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17) ((14)/(16)*(17)
part).
(19) Ind. Alloc.(1st part)........ Step 8............... .................... See 18 0.87 6.41 0.7 0.7 0 0.32 0.32 0
(20) Ind. Alloc. Formula (2nd Step 8............... See Step 8.......... ............... (15) (15) (15+11) (11) (15) (15+11) (11) (15)
part).
(21) Ind. Alloc.(2nd part)........ Step 8............... .................... See 20 0.97 33.75 0.32 0.10 0.22 0.28 0.11 0.17
(22) Indirect Allocator (1st + Step 8............... .................... =(19)+(21) 1.84 40.16 1.03 0.81 0.22 0.60 0.43 0.17
2nd).
(23) Indirect Adjustment (Ind. Steps 9-11........... See Footnote**...... ............... 0.40 0.40 0.40 0.40 0.40 0.40 0.40 0.40
Adj.).
Page 48999
(24) Adjusted Indirect Allocator.. Steps 9-11........... =Ind Alloc * Ind Adj ............... 0.75 16.25 0.42 0.33 0.09 0.24 0.17 0.07
(25) Ind. Practice Cost Index Steps 12-16.......... .................... ............... 1.08 0.79 0.92 0.92 0.92 0.92 0.92 0.92
(IPCI).
(26) Adjusted Indirect............ Step 17.............. = Adj.Ind Alloc * =(24)*(25) 0.81 12.76 0.38 0.30 0.08 0.22 0.16 0.06
PCI.
(27) PE RVU....................... Step 18.............. =(Adj Dir + Adj Ind) =((14)+(26)) * 1.10 14.15 0.67 0.59 0.08 0.35 0.29 0.06
* budn. budn
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Page 49000
2. On page 68907, first column, first paragraph,
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Line 6, the phrase ``CY 2012'' is corrected to read ``CY 2013.''
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Line 8, the phrase ``CY 2012'' is corrected to read ``CY 2013.''
3. On page 68957, second column, following Table 18 is corrected by adding the following:
``6. Psychiatry Services
For CY 2013, the CPT Editorial Panel replaced the current psychiatry/psychotherapy CPT codes with a new structure that allows for the separate reporting of E/M codes, eliminates codes based upon the site-of-service, establishes CPT codes for crisis, and creates a series of psychotherapy add-on CPT codes to describe interactive complexity and medication management. Many of these services are included in the list of Medicare telehealth services. For CY 2013, we did not propose any changes in Medicare telehealth payment policies related to the existing services described by these new codes. Therefore, the new codes describing services currently included on the CY 2012 list of Medicare telehealth services will be included on the CY 2013 list of Medicare telehealth services.
In the case of pharmacologic management services, currently on the CY 2012 list of Medicare telehealth services, we note that the CPT Editorial Panel deleted CPT code 90862 (Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy), and that for CY 2013, psychiatrists will bill the appropriate E/M code when furnishing pharmacologic management services. In order to maintain current telehealth policy for these services when furnished to inpatients, we are establishing a new HCPCS G-code, G0459 (Inpatient telehealth, pharmacologic management, including prescription use and review of medication with no more than minimal medical psychotherapy), on an interim basis for CY 2013 that will describe the pharmacologic management service when furnished via telehealth to inpatients.
We will address any other change in telehealth policy regarding psychiatry services in future rulemaking.''.
4. On page 68959, first column, partial line 5, before the phrase ``Between 1998-2008,'' is corrected to read as follows: ``We note that this number does not represent a discrete number of beneficiaries; rather, it represents the total number of beneficiaries receiving therapy services under plans of care from different disciplines and different providers.''.
5. On page 68965, third column, third paragraph, lines 4 and 5, the phrase ``a composite score'' is corrected to read ``an overall composite score.''
6. On page 68966, third column, second full paragraph, lines 19 through 21, the phrase ``hellipfunctional measures, such as is done with the FOTO Patient tool, for example.'' is corrected to read ``functional measures.''
7. On page 68967 and 68968, in Table 21: G-Codes for Claims-Based Functional Reporting for CY 2013, the listed entries are corrected to read as follows:
------------------------------------------------------------------------
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Other PT/OT Primary Functional Limitation
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G8990.................... Other physical or occupational therapy
primary functional limitation, current
status, at therapy episode outset and at
reporting intervals.
G8991.................... Other physical or occupational therapy
primary functional limitation, projected
goal status, at therapy episode outset, at
reporting intervals, and at discharge or to
end reporting.
G8992.................... Other physical or occupational therapy
primary functional limitation, discharge
status, at discharge from therapy or to end
reporting.
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Other PT/OT Primary Functional Limitation
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G8993.................... Other physical or occupational therapy
subsequent functional limitation, current
status, at therapy episode outset and at
reporting intervals.
G8994.................... Other physical or occupational therapy
subsequent functional limitation, projected
goal status, at therapy episode outset, at
reporting intervals, and at discharge or to
end reporting.
G8995.................... Other physical or occupational therapy
subsequent functional limitation, discharge
status, at discharge from therapy or to end
reporting.
------------------------------------------------------------------------
Swallowing
------------------------------------------------------------------------
G8996.................... Swallowing functional limitation, current
status at therapy episode outset and at
reporting intervals.
G8997.................... Swallowing functional limitation, projected
goal status, at therapy episode outset, at
reporting intervals, and at discharge or to
end reporting.
G8998.................... Swallowing functional limitation, discharge
status, at discharge from therapy or to end
reporting.
------------------------------------------------------------------------
Motor Speech
------------------------------------------------------------------------
G8999.................... Motor speech functional limitation, current
status at therapy episode outset and at
reporting intervals.
G9186.................... Motor speech functional limitation, projected
goal status at therapy episode outset, at
reporting intervals, and at discharge from
or to end reporting.
------------------------------------------------------------------------
Spoken Language Comprehension
------------------------------------------------------------------------
G9159.................... Spoken language comprehension functional
limitation, current status at therapy
episode outset and at reporting intervals.
G9160.................... Spoken language comprehension functional
limitation, projected goal status at therapy
episode outset, at reporting intervals, and
at discharge from or to end reporting.
G9161.................... Spoken language comprehension functional
limitation, discharge status at discharge
from therapy or to end reporting.
------------------------------------------------------------------------
Spoken Language Expression
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G9162.................... Spoken language expression functional
limitation, current status at therapy
episode outset and at reporting intervals.
G9163.................... Spoken language expression functional
limitation, projected goal status at therapy
episode outset, at reporting intervals, and
at discharge from or to end reporting.
Page 49001
G9164.................... Spoken language expression functional
limitation, discharge status at discharge
from therapy or to end reporting.
------------------------------------------------------------------------
Attention
------------------------------------------------------------------------
G9165.................... Attention functional limitation, current
status at therapy episode outset and at
reporting intervals.
G9166.................... Attention functional limitation, projected
goal status at therapy episode outset, at
reporting intervals, and at discharge from
or to end reporting.
G9167.................... Attention functional limitation, discharge
status at discharge from therapy or to end
reporting.
------------------------------------------------------------------------
Memory
------------------------------------------------------------------------
G9168.................... Memory functional limitation, current status
at therapy episode outset and at reporting
intervals.
G9169.................... Memory functional limitation, projected goal
status at therapy episode outset, at
reporting intervals, and at discharge from
or to end reporting.
G9170.................... Memory functional limitation, discharge
status at discharge from therapy or to end
reporting.
------------------------------------------------------------------------
Voice
------------------------------------------------------------------------
G9171.................... Voice functional limitation, current status
at therapy episode outset and at reporting
intervals.
G9172.................... Voice functional limitation, projected goal
status at therapy episode outset, at
reporting intervals, and at discharge from
or to end reporting.
G9173.................... Voice functional limitation, discharge status
at discharge from therapy or to end
reporting.
------------------------------------------------------------------------
Other SLP Functional Limitation
------------------------------------------------------------------------
G9174.................... Other speech language pathology functional
limitation, current status at therapy
episode outset and at reporting intervals.
G9175.................... Other speech language pathology functional
limitation, projected goal status at therapy
episode outset, at reporting intervals, and
at discharge from or to end reporting.
G9176.................... Other speech language pathology functional
limitation, discharge status at discharge
from therapy or to end reporting.
------------------------------------------------------------------------
8. On page 69033, in the third column, after second full paragraph, is corrected by adding the following:
``(14) Needle EMG: Electromyography (CPT Codes 95886, 95887)
In establishing interim final direct PE inputs for 2012, CMS refined the AMA RUC's recommendation for CPT codes 95886 (Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (list separately in addition to code for primary procedure)) and 95887 (Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (list separately in addition to code for primary procedure)) by reducing the number of service period clinical labor minutes to account for preparatory clinical labor tasks associated with both the base and add-on codes. CMS also refined the corresponding equipment minutes.
Comment: Several commenters explained that clinical labor typically requires additional time to prepare the distinct equipment used in furnishing the services described by the add-on codes.
Response: After reviewing the information provided by the commenters, we agree that it would be appropriate to incorporate additional minutes for these codes. Therefore, we are finalizing the direct PE inputs for CPT codes 95886 and 95887 with the additional refinement of adding two minutes to both the service period clinical labor time and the corresponding equipment time. The direct PE inputs are displayed in the final CY 2013 direct PE input database, available on the CMS Web site under downloads for the CY 2013 PFS final rule at www.cms.gov/PhysicianFeeSched/.''.
9. On page 69042, bottom half of the page, last paragraph, last line, the phrase CPT code 99231 visits is corrected to read ``99231 (subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; a problem focused examination; medical decision making that is straightforward or of low complexity) visits,''.
10. On page 69043, top of page, first column, first partial paragraph, lines 1 and 2, the phrase 99323 visit is corrected to read ``99232 (subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; an expanded problem focused examination; medical decision making of moderate complexity) visit, 1 CPT code 99238 (hospital discharge day management; 30 minutes or less) visit, and 4 CPT code 99213 (office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity) visits.''.
11. On page 69051,
-
First column, first full paragraph, lines 2 through 10, the parenthetical ((Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed).), is corrected to read: ``((Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed).)''.
-
Third column, after last full paragraph, is corrected by adding the following:
``CPT codes 37620, 75940, and 36010 were identified as potentially misvalued through the Codes Reported Together 75 percent or More screen. In response, the CPT Editorial Panel created CPT codes 37191 through 37193 and 37197 to bundle the services together. After clinical review of CPT code 37197 (Transcatheter retrieval, percutaneous, of intravascular foreign body (for example, fractured venous or arterial
Page 49002
catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed), along with the other related bundled services, we believe a work RVU of 6.29 accurately reflects the work involved in furnishing this service. We believe CPT code 37197 involves similar work as CPT code 36247 (Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family) and should be valued the same. Furthermore, we believe a work RVU of 6.29 appropriately reflects the relative difference in work between this service and related CPT codes 37191, 37192, and 37193. The AMA RUC recommended a work RVU of 6.72 for CPT code 37197, a direct crosswalk to CPT code 36475 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated). On an interim final basis for CY 2013, we are assigning a work RVU of 6.29 to CPT code 37197.''.
12. On page 69071, lower half of the page, third column,
-
Lines 3 and 4, the phrase ``Table KK6 is corrected to read ``Table 73.''.
-
Line 10, the phrase ``Table KK7'' is corrected to read ``Table 74.''.
13. On page 69072,
-
First column, first full paragraph, line 1, the phrase ``Table KK7'' is corrected to read ``Table 74.''
-
Second column,
(1) First full paragraph, last line, the phrase ``Table 73'' is corrected to read ``Table 74.''.
(2) Second full paragraph, last line, the phrase ``Table 73'' is corrected to read ``Table 74.''.
-
Third column,
(1) First paragraph, last line, the phrase ``Table 73'' is corrected to read ``Table 74.''.
(2) Second paragraph, lines 23 and 24, the phrase ``Table 73'' is corrected to read ``Table 74.''
14. On page 69073, second column, second full paragraph, last line, the phrase ``Table 73'' is corrected to read, ``Table 74.''
15. On page 69074, first column, following first partial paragraph, is corrected to read as follows:
``We note that we did not receive adequate information for pricing the following new supply and equipment items included in the AMA RUC's CY 2013 direct PE input recommendations: SD276 (Indicator powder), SK115 (Reproduced patient worksheet), SL464 (Atomizer tips, disposable), and ER088 (Infrared illuminator). Therefore, for CY 2013, these supply and equipment items have no price inputs associated with them in the direct PE database. We will consider any newly submitted information regarding appropriate pricing for these supply items as part of our annual supply and equipment price update process.''
16. On pages 69077 through 69128, in Table 74: CPT Codes with Refined Direct PE Recommendations for CY 2013 Interim Codes is corrected to read as follows:
TABLE 74--CPT Codes With Refined Direct PE Recommendations for CY 2013 Interim Codes
--------------------------------------------------------------------------------------------------------------------------------------------------------
RUC
recommendation CMS
CPT Code CPT Code CMS Code CMS Code NonFac/Fac Labor activity or current refinement Comment
description description (if applicable) value (min or (min or
qty) qty)
--------------------------------------------------------------------------------------------------------------------------------------------------------
11300................. Shave skin lesion ED004 camera, digital NF ................. 29 14 Refined equipment
0.5 cm/2.0 cm. (6 mexapixel). time to reflect
typical use
exclusive to
patient.
EF014 light, surgical.. NF ................. 41 22 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 41 22 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 41 22 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ110 electrocautery- NF ................. 41 0 CMS clinical
hyfrecator, up review; not
to 45 watts. described as
typical in work
vignette.
EQ137 instrument pack, NF ................. 41 32 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 41 22 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
L037D RN/LPN/MTA....... NF Clean Surgical 1 10 Standardized time
Instrument input.
Package.
SB003 cover, probe NF ................. 1 0 CMS clinical
(cryosurgery). review.
SB027 gown, staff, NF ................. 2 1 Duplicative.
impervious.
SB033 mask, surgical... NF ................. 2 1 Duplicative.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
11305................. Shave skin lesion ED004 camera, digital NF ................. 29 17 Refined equipment
0.5 cm/2.0 cm. (6 mexapixel). time to reflect
typical use
exclusive to
patient.
EF014 light, surgical.. NF ................. 42 24 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 42 24 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 42 24 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ110 electrocautery- NF ................. 42 0 CMS clinical
hyfrecator, up review; not
to 45 watts. described as
typical in work
vignette.
EQ137 instrument pack, NF ................. 42 34 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
Page 49007
EQ351 Smoke Evacuator NF ................. 42 24 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
L037D RN/LPN/MTA....... NF Clean Surgical 1 10 Standardized time
Instrument input.
Package.
SB003 cover, probe NF ................. 1 0 CMS clinical
(cryosurgery). review.
SB027 gown, staff, NF ................. 2 1 Duplicative.
impervious.
SB033 mask, surgical... NF ................. 2 1 Duplicative.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
11310................. Shave skin lesion ED004 camera, digital NF ................. 34 20 Refined equipment
0.5 cm/2.0 cm. (6 mexapixel). time to reflect
typical use
exclusive to
patient.
EF014 light, surgical.. NF ................. 48 30 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 48 30 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 48 30 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ110 electrocautery- NF ................. 48 0 CMS clinical
hyfrecator, up review; not
to 45 watts. described as
typical in work
vignette.
EQ137 instrument pack, NF ................. 48 40 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 48 30 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
L037D RN/LPN/MTA....... NF Clean Surgical 1 10 Standardized time
Instrument input.
Package.
SB003 cover, probe NF ................. 1 0 CMS clinical
(cryosurgery). review.
SB027 gown, staff, NF ................. 2 1 Duplicative.
impervious.
SB033 mask, surgical... NF ................. 2 1 Duplicative.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
11719................. Trim nail(s) any L037D RN/LPN/MTA....... NF Greet patient, 3 1 CMS clinical
number. provide gowning, review.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Provide pre- 2 1 CMS clinical
service review.
education/obtain
consent.
L037D RN/LPN/MTA....... NF Prepare room, 2 1 CMS clinical
equipment, review.
supplies.
L037D RN/LPN/MTA....... NF Clean room/ 3 1 CMS clinical
equipment by review.
physician staff.
SJ028 hydrogen peroxide NF ................. 10 0 CMS clinical
review.
SJ053 swab-pad, alcohol NF ................. 10 0 CMS clinical
review.
13100................. Cmplx rpr trunk EF014 light, surgical.. NF ................. 32 27 Refined equipment
1.1-2.5 cm. time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 32 39 Refined equipment
time to reflect
typical use
exclusive to
patient.
Page 49010
EF023 table, exam...... NF ................. 32 27 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 32 39 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 32 39 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 32 46 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 32 39 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
SB016 drape-cover, NF ................. 2 1 CMS clinical
sterile, OR review.
light handle.
SB027 gown, staff, NF ................. 2 0 Duplicative.
impervious.
SB034 mask, surgical, NF ................. 2 1 Duplicative.
with face shield.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
SJ041 povidone soln NF ................. 5 0 Duplicative.
(Betadine).
13101................. Cmplx rpr trunk EF014 light, surgical.. NF ................. 45 27 Refined equipment
2.6-7.5 cm. time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 45 47 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF023 table, exam...... NF ................. 45 27 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 45 47 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 45 47 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 45 54 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 45 47 CMS clinical
(tubing, review.
covering, etc.)
with stand.
SB016 drape-cover, NF ................. 2 1 CMS clinical
sterile, OR review.
light handle.
SB027 gown, staff, NF ................. 2 0 Duplicative.
impervious.
Page 49011
SB027 gown, staff, F ................. 2 0 CMS clinical
impervious. review.
SB034 mask, surgical, NF ................. 2 1 Duplicative.
with face shield.
SB034 mask, surgical, F ................. 2 1 CMS clinical
with face shield. review.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
SJ041 povidone soln NF ................. 10 0 Duplicative.
(Betadine).
13102................. Cmplx rpr trunk EF015 mayo stand....... NF ................. 30 20 Refined equipment
addl 5cm/ time to reflect
typical use
exclusive to
patient.
Page 49013
EF031 table, power..... NF ................. 30 20 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 30 20 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 30 20 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 30 20 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
SJ041 povidone soln NF ................. 5 0 Duplicative.
(Betadine).
13131................. Cmplx rpr f/c/c/m/ EF014 light, surgical.. NF ................. 45 27 Refined equipment
n/ax/g/h/f. time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 45 48 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF023 table, exam...... NF ................. 45 27 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 45 48 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 45 48 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 45 55 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 45 48 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
SB016 drape-cover, NF ................. 2 1 CMS clinical
sterile, OR review.
light handle.
SB027 gown, staff, NF ................. 2 0 Duplicative.
impervious.
SB034 mask, surgical, NF ................. 2 1 Duplicative.
with face shield.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
SJ041 povidone soln NF ................. 5 0 Duplicative.
(Betadine).
Page 49014
13132................. Cmplx rpr f/c/c/m/ EF014 light, surgical.. NF ................. 50 27 Refined equipment
n/ax/g/h/f. time to reflect
typical use
exclusive to
patient.
EF015 mayo stand....... NF ................. 50 51 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF023 table, exam...... NF ................. 50 27 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 50 51 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 50 51 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 50 58 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 50 51 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
SB016 drape-cover, NF ................. 2 1 CMS clinical
sterile, OR review.
light handle.
SB027 gown, staff, NF ................. 2 0 Duplicative.
impervious.
SB034 mask, surgical, NF ................. 2 1 Duplicative.
with face shield.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
SJ041 povidone soln NF ................. 10 0 Duplicative.
(Betadine).
13133................. Cmplx rpr f/c/c/m/ EF015 mayo stand....... NF ................. 35 23 Refined equipment
n/ax/g/h/f. time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 35 23 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ114 electrosurgical NF ................. 35 23 Refined equipment
generator, up to time to reflect
120 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 35 23 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ351 Smoke Evacuator NF ................. 35 23 Refined equipment
(tubing, time to reflect
covering, etc.) typical use
with stand. exclusive to
patient.
Electrocautery NF ................. 1 0 Non-standard
Supply Pack. direct practice
expense input.
Page 49015
SJ041 povidone soln NF ................. 5 0 Duplicative.
(Betadine).
13150................. Cmplx rpr e/n/e/l EF014 light, surgical.. NF ................. 30 27 Refined equipment
1.0 cm/N/A..... L037D RN/LPN/MTA....... F Coordinate pre- 40 10 Standardized time
surgery services. input.
L037D RN/LPN/MTA....... F Schedule space 8 5 Standardized time
and equipment in input.
facility.
L037D RN/LPN/MTA....... F Provide pre- 20 7 Standardized time
service input.
education/obtain
consent.
L037D RN/LPN/MTA....... F Follow-up phone 7 3 Standardized time
calls & input.
prescriptions.
33405................. Replacement of L051A RN............... F Other Clinical 15 0 CMS clinical
aortic valve. Activity--specif review.
y: for reference
code 33406 and
codes 33405 and
33430:
Additional
coordination
between multiple
specialties for
complex
procedures
(tests, meds,
scheduling, etc)
prior to patient
arrival at site
of service..
L051A RN............... F Other Clinical 15 0 CMS clinical
Activity--specif review.
y: for reference
code 33406 and
codes 33405 and
33430:
Additional
coordination
between multiple
specialties for
complex
procedures
(tests, meds,
scheduling, etc)
prior to patient
arrival at site
of service..
35475................. Repair arterial EL011 room, angiography NF ................. 51 52 Refined equipment
blockage. time to reflect
typical use
exclusive to
patient.
EQ011 ECG, 3-channel NF ................. 212 285 Moderate Sedation
(with SpO2, equipment--Time
NIBP, temp, includes
resp). administering
anesthesia,
procedure time,
and monitoring
patient.
Page 49024
EQ032 IV infusion pump. NF ................. 212 285 Moderate Sedation
equipment--Time
includes
administering
anesthesia,
procedure time,
and monitoring
patient.
EQ168 light, exam...... NF ................. 120 52 Refined equipment
time to reflect
typical use
exclusive to
patient.
L037D RN/LPN/MTA....... F Complete pre- 5 3 CMS clinical
service review.
diagnostic &
referral forms.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
L041B Radiologic NF Prepare room, 4 2 Standardized time
Technologist. equipment, input.
supplies.
SB019 drape-towel, NF ................. 4 2 CMS clinical
sterile 18in x review.
26in.
35476................. Repair venous Ef027 table, NF ................. 302 277 Moderate Sedation
blockage. instrument, equipment--Time
mobile. includes
administering
anesthesia,
procedure time,
and monitoring
patient.
EL011 room, angiography NF ................. 43 44 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ011 ECG, 3-channel NF ................. 137 277 Moderate Sedation
(with SpO2, equipment--Time
NIBP, temp, includes
resp). administering
anesthesia,
procedure time,
and monitoring
patient.
EQ032 IV infusion pump. NF ................. 137 277 Moderate Sedation
equipment--Time
includes
administering
anesthesia,
procedure time,
and monitoring
patient.
EQ168 light, exam...... NF ................. 120 44 Refined equipment
time to reflect
typical use
exclusive to
patient.
L037D RN/LPN/MTA....... F Schedule space 3 5 CMS clinical
and equipment in review.
facility.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
L041B Radiologic NF Prepare room, 4 2 Standardized time
Technologist. equipment, input.
supplies.
SB019 drape-towel, NF ................. 4 2 CMS clinical
sterile 18in x review.
26in.
36221................. Place cath EF018 stretcher........ NF ................. 272 0 CMS Code
thoracic aorta. correction.
EF027 table, NF ................. 0 272 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 49 45 Refined equipment
time to reflect
typical use
exclusive to
patient.
Page 49025
EQ088 contrast media NF ................. 49 45 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 49 45 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
L041A Angio Technician. NF Image Post 5 0 CMS clinical
Processing. review.
L041B Radiologic NF Prepare room, 2 7 CMS clinical
Technologist. equipment, review.
supplies.
L041B Radiologic NF Prepare and 2 7 CMS clinical
Technologist. position patient/ review.
monitor patient/
set up IV.
SD249 Sterile Radio- NF ................. 1 0 CMS clinical
opaque ruler (le review.
Maitre,
documentation
available).
36222................. Place cath EF018 stretcher........ NF ................. 282 0 CMS Code
carotid/inom art. correction.
EF027 table, NF ................. 0 282 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 59 55 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ088 contrast media NF ................. 59 55 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 59 55 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
SD147 catheter, (Glide) NF ................. 1 0 CMS clinical
review.
SD249 Sterile Radio- NF ................. 1 0 CMS clinical
opaque ruler (le review.
Maitre,
documentation
available).
36223................. Place cath EF018 stretcher........ NF ................. 287 0 CMS Code
carotid/inom art. correction.
EF027 table, NF ................. 0 287 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 64 60 Refined equipment
time to reflect
typical use
exclusive to
patient.
Page 49026
EQ088 contrast media NF ................. 64 60 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 64 60 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
SD249 Sterile Radio- NF ................. 1 0 CMS clinical
opaque ruler (le review.
Maitre,
documentation
available).
36224................. Place cath carotd EF018 stretcher........ NF ................. 292 0 CMS Code
art. correction.
EF027 table, NF ................. 0 292 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 69 65 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ088 contrast media NF ................. 69 65 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 69 65 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
36225................. Place cath EF018 stretcher........ NF ................. 287 0 CMS Code
subclavian art. correction.
EF027 table, NF ................. 0 287 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 64 60 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ088 contrast media NF ................. 64 60 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 64 60 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
Page 49027
36226................. Place cath EF018 stretcher........ NF ................. 292 0 CMS Code
vertebral art. correction.
EF027 table, NF ................. 0 292 CMS Code
instrument, correction.
mobile.
EL011 room, angiography NF ................. 69 65 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ088 contrast media NF ................. 69 65 Refined equipment
warmer. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 69 65 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
36228................. Place cath L041B Radiologic NF Prepare room, 1 0 CMS clinical
intracranial art. Technologist. equipment, review.
supplies.
L041B Radiologic NF Assisting with 23 22 CMS clinical
Technologist. flouroscopy/ review.
image
acquisition
(75%).
SC057 syringe 5-6ml.... NF ................. 4 0 CMS clinical
review.
37197................. Remove intrvas EF027 table, NF ................. 305 302 Moderate Sedation
foreign body. instrument, equipment--Time
mobile. includes
administering
anesthesia,
procedure time,
and monitoring
patient.
EL011 room, angiography NF ................. 77 72 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ011 ECG, 3-channel NF ................. 305 302 Moderate Sedation
(with SpO2, equipment--Time
NIBP, temp, includes
resp). administering
anesthesia,
procedure time,
and monitoring
patient.
EQ032 IV infusion pump. NF ................. 305 302 Moderate Sedation
equipment--Time
includes
administering
anesthesia,
procedure time,
and monitoring
patient.
EQ088 contrast media NF ................. 77 0 CMS clinical
warmer. review.
EQ250 ultrasound unit, NF ................. 77 0 CMS clinical
portable. review.
ER029 film alternator NF ................. 77 72 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
Page 49028
L037D RN/LPN/MTA....... NF Greet patient, 5 3 Standardized time
provide gowning, input.
assure
appropriate
medical records
are available.
L037D RN/LPN/MTA....... NF Obtain vital 5 3 CMS clinical
signs. review.
L041B Radiologic NF Prepare room, 7 5 CMS clinical
Technologist. equipment, review.
supplies
(including
imaging
equipment).
L041B Radiologic NF Prepare and 5 2 Standardized time
Technologist. position patient/ input.
monitor patient/
set up IV.
SB005 cover-condom, NF ................. 1 0 CMS clinical
transducer or review.
ultrasound probe.
SB048 sheath-cover, NF ................. 1 0 CMS clinical
sterile, 96in x review.
6in (transducer).
SD147 catheter, (Glide) NF ................. 1 0 CMS clinical
review.
SD252 guidewire, NF ................. 1 0 CMS clinical
Amplatz wire 260 review.
cm.
SH065 sodium chloride NF ................. 2 0 CMS clinical
0.9% flush review.
syringe.
47600................. Removal of SA053 pack, post-op F ................. 1 0 CMS clinical
gallbladder. incision care review.
(suture &
staple).
SA054 pack, post-op F ................. 0 1 CMS clinical
incision care review.
(suture).
47605................. Removal of SA053 pack, post-op F ................. 1 0 CMS clinical
gallbladder. incision care review.
(suture &
staple).
SA054 pack, post-op F ................. 0 1 CMS clinical
incision care review.
(suture).
50590................. Fragmenting of EL014 room, NF ................. 86 0 Consistent with
kidney stone. radiographic- the AMA RUC's
fluoroscopic. CY2011
recommendation.
EQ175 lithotriptor, NF ................. 86 67 Refined equipment
with C-arm time to reflect
(ESWL). typical use
exclusive to
patient.
52214................. Cystoscopy and EF027 table, NF ................. 100 65 Refined equipment
treatment. instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF031 table, power..... NF ................. 100 65 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 100 65 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ153 laser (gs, uro, NF ................. 100 65 Refined equipment
obg, ge) (Indigo time to reflect
Optima). typical use
exclusive to
patient.
EQ167 light source, NF ................. 100 65 Refined equipment
xenon. time to reflect
typical use
exclusive to
patient.
Page 49029
ES006 endoscope NF ................. 100 65 Refined equipment
forceps, biopsy. time to reflect
typical use
exclusive to
patient.
ES007 endoscope NF ................. 100 65 Refined equipment
forceps, time to reflect
grasping. typical use
exclusive to
patient.
ES018 fiberscope, NF ................. 100 92 Refined equipment
flexible, time to reflect
cystoscopy. typical use
exclusive to
patient.
ES031 video system, NF ................. 100 65 Refined equipment
endoscopy time to reflect
(processor, typical use
digital capture, exclusive to
monitor, patient.
printer, cart).
L037D RN/LPN/MTA....... NF Review Chart..... 3 0 CMS clinical
review.
SB019 drape-towel, NF ................. 1 0 Duplicative.
sterile 18in x
26in.
SB024 gloves, sterile.. NF ................. 0 1 CMS clinical
review.
SD270 Penis clamp...... NF ................. 1 0 Not a disposable
according to
submitted
invoice.
SH047 lidocaine 1%-2% NF ................. 50 0 Duplicative.
inj (Xylocaine).
52224................. Cystoscopy and EF027 table, NF ................. 105 67 Refined equipment
treatment. instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF031 table, power..... NF ................. 105 67 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 105 67 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
EQ153 laser (gs, uro, NF ................. 105 67 Refined equipment
obg, ge) (Indigo time to reflect
Optima). typical use
exclusive to
patient.
EQ167 light source, NF ................. 105 67 Refined equipment
xenon. time to reflect
typical use
exclusive to
patient.
ES006 endoscope NF ................. 105 67 Refined equipment
forceps, biopsy. time to reflect
typical use
exclusive to
patient.
ES007 endoscope NF ................. 105 67 Refined equipment
forceps, time to reflect
grasping. typical use
exclusive to
patient.
ES018 fiberscope, NF ................. 105 94 Refined equipment
flexible, time to reflect
cystoscopy. typical use
exclusive to
patient.
ES031 video system, NF ................. 105 67 Refined equipment
endoscopy time to reflect
(processor, typical use
digital capture, exclusive to
monitor, patient.
printer, cart).
Page 49030
L037D RN/LPN/MTA....... NF Review Chart..... 3 0 CMS clinical
review.
L037D RN/LPN/MTA....... NF Prepare biopsy 5 2 CMS clinical
Specimen. review.
SB019 drape-towel, NF ................. 1 0 Duplicative.
sterile 18in x
26in.
SB024 gloves, sterile.. NF ................. 3 1 CMS clinical
review.
SD270 Penis clamp...... NF ................. 1 0 Not a disposable
according to
submitted
invoice.
SH047 lidocaine 1%-2% NF ................. 50 0 Duplicative.
inj (Xylocaine).
SL036 cup, biopsy- NF ................. 6 3 CMS clinical
specimen sterile review.
4oz.
52287................. Cystoscopy EF027 table, NF ................. 78 49 Refined equipment
chemodenervation. instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF031 table, power..... NF ................. 78 49 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ170 light, fiberoptic NF ................. 78 49 Refined equipment
headlight w- time to reflect
source. typical use
exclusive to
patient.
ES018 fiberscope, NF ................. 78 76 Refined equipment
flexible, time to reflect
cystoscopy. typical use
exclusive to
patient.
ES031 video system, NF ................. 78 49 Refined equipment
endoscopy time to reflect
(processor, typical use
digital capture, exclusive to
monitor, patient.
printer, cart).
L037D RN/LPN/MTA....... NF Assist physician 20 21 Conforming to
in performing physician time.
procedure.
SH048 lidocaine 2% NF ................. 10 0 Duplicative.
jelly, topical
(Xylocaine).
53850................. Prostatic EF020 stretcher, NF ................. 99 85 Refined equipment
microwave endoscopy. time to reflect
thermotx. typical use
exclusive to
patient.
EF027 table, NF ................. 99 85 Refined equipment
instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF031 table, power..... NF ................. 169 152 Refined equipment
time to reflect
typical use
exclusive to
patient.
EF031 table, power..... F ................. 169 152 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ037 TUMT system NF ................. 99 85 Refined equipment
control unit. time to reflect
typical use
exclusive to
patient.
EQ168 light, exam...... NF ................. 169 152 Refined equipment
time to reflect
typical use
exclusive to
patient.
Page 49031
EQ168 light, exam...... F ................. 169 152 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ250 ultrasound unit, NF ................. 99 85 Refined equipment
portable. time to reflect
typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Prepare room, 2 4 CMS clinical
equipment, review.
supplies.
L037D RN/LPN/MTA....... NF Setup ultrasound 5 0 CMS clinical
probe. review.
L037D RN/LPN/MTA....... NF Setup TUMT 5 0 CMS clinical
machine. review.
L037D RN/LPN/MTA....... NF Clean TUMT 3 0 CMS clinical
machine. review.
SB022 gloves, non- NF ................. 3 2 CMS clinical
sterile. review.
SB024 gloves, sterile.. NF ................. 3 2 CMS clinical
review.
SH047 lidocaine 1%-2% NF ................. 3 30 CMS clinical
inj (Xylocaine). review.
64612................. Destroy nerve EL006 lane, screening F ................. 39 27 Refined equipment
face muscle. (oph). time to reflect
typical use
exclusive to
patient.
EL006 lane, screening NF ................. 48 45 Refined equipment
(oph). time to reflect
typical use
exclusive to
patient.
SC031 needle, 30g...... F ................. 0 1 CMS clinical
review.
64615................. Chemodenerv musc EF023 table, exam...... NF ................. 24 18 Refined equipment
migraine. time to reflect
typical use
exclusive to
patient.
65800................. Drainage of eye.. EL006 Lane, Screening.. NF ................. 21 22 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 21 22 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
67810................. Biopsy eyelid & EF014 light, surgical.. NF ................. 20 22 Refined equipment
lid margin. time to reflect
typical use
exclusive to
patient.
EF031 table, power..... NF ................. 20 22 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ110 electrocautery- NF ................. 1 22 Refined equipment
hyfrecator, up time to reflect
to 45 watts. typical use
exclusive to
patient.
EQ137 instrument pack, NF ................. 1 30 Refined equipment
basic ($500- time to reflect
$1499). typical use
exclusive to
patient.
SB011 drape, sterile, NF ................. 0 1 CMS clinical
fenestrated 16in review.
x 29in.
SB019 drape-towel, NF ................. 4 1 CMS clinical
sterile 18in x review.
26in.
Page 49032
SC029 needle, 18-27g... NF ................. 1 0 Standardized time
input.
72040................. X-ray exam neck ED025 film processor, NF ................. 20 4 Refined equipment
spine 3/vws. wet. time to reflect
typical use
exclusive to
patient.
EL012 room, basic NF ................. 36 25 Refined equipment
radiology. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 36 8 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
Film jacket or NF ................. 1 0 Non-standard
jacket insert. direct practice
expense input.
72191................. Ct angiograph EL007 room, CT......... NF ................. 101 40 Refined equipment
pelv w/o&w/dye. time to reflect
typical use
exclusive to
patient.
L041B Radiologic NF Retrieve prior 0 5 CMS clinical
Technologist. appropriate review.
imaging exams
and hang for MD
review, verify
orders, review
the chart to
incorporate
relevant
clinical
information.
L041B Radiologic NF Greet patient, 0 3 CMS clinical
Technologist. provide gowning, review.
assure
appropriate
medical records
are available.
Page 49033
L041B Radiologic NF Education/ 0 2 CMS clinical
Technologist. instruction/ review.
counseling/
obtain consent.
L041B Radiologic NF Prepare room, 0 2 Standardized time
Technologist. equipment, input.
supplies.
L041B Radiologic NF Prepare and 0 7 CMS clinical
Technologist. position patient/ review.
monitor patient/
set up IV.
L041B Radiologic NF Aquire images.... 0 28 CMS clinical
Technologist. review.
L041B Radiologic NF Clean room/ 0 3 CMS clinical
Technologist. equipment by review.
physician staff.
L046A CT Technologist.. NF Retrieve prior 5 0 CMS clinical
appropriate review.
imaging exams
and hang for MD
review, verify
orders, review
the chart to
incorporate
relevant
clinical
information.
L046A CT Technologist.. NF Greet patient, 3 0 CMS clinical
provide gowning, review.
assure
appropriate
medical records
are available.
L046A CT Technologist.. NF Education/ 2 0 CMS clinical
instruction/ review.
counseling/
obtain consent.
L046A CT Technologist.. NF Prepare room, 5 0 CMS clinical
equipment, review.
supplies.
L046A CT Technologist.. NF Prepare and 7 0 CMS clinical
position patient/ review.
monitor patient/
set up IV.
L046A CT Technologist.. NF Aquire images.... 28 0 CMS clinical
review.
L046A CT Technologist.. NF Clean room/ 3 0 CMS clinical
equipment by review.
physician staff.
SK016 computer media, NF ................. 1 0.1 CMS clinical
optical disk review.
2.6gb.
72192................. Ct pelvis w/o dye ED024 film processor, NF ................. 5 0 CMS clinical
dry, laser. review.
ED032 printer, laser, NF ................. 0 5 CMS clinical
paper. review.
EL007 room, CT......... NF ................. 45 22 CMS clinical
review.
L046A CT Technologist.. NF Pre-Service 6 4 CMS clinical
Period. review.
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
SK098 film, x-ray, NF ................. 4 8 CMS clinical
laser print. review.
72193................. Ct pelvis w/dye.. ED024 film processor, NF ................. 5 0 CMS clinical
dry, laser. review.
ED032 printer, laser, NF ................. 0 5 CMS clinical
paper. review.
EL007 room, CT......... NF ................. 40 32 CMS clinical
review.
L046A CT Technologist.. NF Pre-Service 7 4 CMS clinical
Period. review.
L046A CT Technologist.. NF Service Period... 40 43 CMS clinical
review.
Page 49034
SB006 drape, non- NF ................. 1 0 CMS clinical
sterile, sheet review.
40in x 60in.
SB014 drape, sterile, NF ................. 0 1 CMS clinical
three-quarter review.
sheet.
SC001 angiocatheter 14g- NF ................. 1 0 CMS clinical
24g. review.
SC002 angiocatheter set NF ................. 0 1 CMS clinical
review.
SC025 needle, 14-20g, NF ................. 0 1 CMS clinical
biopsy. review.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
SC059 syringe, 25ml NF ................. 0 1 CMS clinical
(MRI power review.
injector).
SG068 plaster bandage NF ................. 1 0 CMS clinical
(4in x 5yd uou). review.
SG075 tape, elastic, NF ................. 0 6 CMS clinical
1in review.
(Elastoplast,
Elasticon) (5yd
uou).
SG079 tape, surgical NF ................. 6 0 CMS clinical
paper 1in review.
(Micropore).
SH065 sodium chloride NF ................. 0 15 CMS clinical
0.9% flush review.
syringe.
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
72194................. Ct pelvis w/o & w/ ED024 film processor, NF ................. 10 7 CMS clinical
dye. dry, laser. review.
EL007 room, CT......... NF ................. 54 39 CMS clinical
review.
ER029 film alternator NF ................. 10 7 CMS clinical
(motorized film review.
viewbox).
L046A CT Technologist.. NF Pre-Service 7 4 CMS clinical
Period. review.
L046A CT Technologist.. NF Service Period... 54 52 CMS clinical
review.
SC025 needle, 14-20g, NF ................. 0 1 CMS clinical
biopsy. review.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
SK098 film, x-ray, NF ................. 0 8 CMS clinical
laser print. review.
73221................. Mri joint upr ED024 film processor, NF ................. 63 33 Refined equipment
extrem w/o dye. dry, laser. time to reflect
typical use
exclusive to
patient.
EL008 room, MR......... NF ................. 63 33 Refined equipment
time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 63 33 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
Page 49035
L047A MRI Technologist. NF Prepare room, 5 3 CMS clinical
equipment, review.
supplies.
L047A MRI Technologist. NF Prepare and 3 2 Standardized time
position patient/ input.
monitor patient/
set up IV.
L047A MRI Technologist. NF Escort patient 2 0 Non-standard
from exam room direct practice
due to magnetic expense input.
sensitivity.
Insert folder.... NF ................. 1 0 Non-standard
direct practice
expense input.
73721................. Mri jnt of lwr ED024 film processor, NF ................. 63 33 Refined equipment
extre w/o dye. dry, laser. time to reflect
typical use
exclusive to
patient.
EL008 room, MR......... NF ................. 63 33 Refined equipment
time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 63 33 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L047A MRI Technologist. NF Prepare room, 5 3 CMS clinical
equipment, review.
supplies.
L047A MRI Technologist. NF Prepare and 3 2 Standardized time
position patient/ input.
monitor patient/
set up IV.
L047A MRI Technologist. NF Escort patient 2 0 Non-standard
from exam room direct practice
due to magnetic expense input.
sensitivity.
Insert folder.... NF ................. 1 0 Non-standard
direct practice
expense input.
74150................. Ct abdomen w/o ED024 film processor, NF ................. 5 0 CMS clinical
dye. dry, laser. review.
ED032 printer, laser, NF ................. 0 5 CMS clinical
paper. review.
EL007 room, CT......... NF ................. 32 22 CMS clinical
review.
L046A CT Technologist.. NF Pre-Service 6 4 CMS clinical
Period. review.
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
SK098 film, x-ray, NF ................. 4 8 CMS clinical
laser print. review.
74160................. Ct abdomen w/dye. ED024 film processor, NF ................. 7 0 CMS clinical
dry, laser. review.
ED032 printer, laser, NF ................. 0 5 CMS clinical
paper. review.
EL007 room, CT......... NF ................. 47 32 CMS clinical
review.
ER029 film alternator NF ................. 7 5 CMS clinical
(motorized film review.
viewbox).
L046A CT Technologist.. NF Pre-Service 7 4 CMS clinical
Period. review.
L046A CT Technologist.. NF Service Period... 47 43 CMS clinical
review.
SB006 drape, non- NF ................. 1 0 CMS clinical
sterile, sheet review.
40in x 60in.
Page 49036
SB014 drape, sterile, NF ................. 0 1 CMS clinical
three-quarter review.
sheet.
SC001 angiocatheter 14g- NF ................. 1 0 CMS clinical
24g. review.
SC002 angiocatheter set NF ................. 0 1 CMS clinical
review.
SC025 needle, 14-20g, NF ................. 0 1 CMS clinical
biopsy. review.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
SC059 syringe, 25ml NF ................. 0 1 CMS clinical
(MRI power review.
injector).
SG075 tape, elastic, NF ................. 0 6 CMS clinical
1in review.
(Elastoplast,
Elasticon) (5yd
uou).
SG079 tape, surgical NF ................. 6 0 CMS clinical
paper 1in review.
(Micropore).
SH065 sodium chloride NF ................. 0 15 CMS clinical
0.9% flush review.
syringe.
SH068 sodium chloride NF ................. 1 0 CMS clinical
0.9% inj review.
bacteriostatic
(30ml uou).
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
SK098 film, x-ray, NF ................. 6 4 CMS clinical
laser print. review.
74170................. Ct abdomen w/o & ED024 film processor, NF ................. 15 7 Refined equipment
w/dye. dry, laser. time to reflect
typical use
exclusive to
patient.
EL007 room, CT......... NF ................. 65 39 Refined equipment
time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 15 7 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L046A CT Technologist.. NF Retrieve prior 7 4 CMS clinical
appropriate review.
imaging exams
and hang for MD
review, verify
orders, review
the chart to
incorporate
relevant
clinical
information and
confirm contrast
protocol with
interpreting MD.
L046A CT Technologist.. NF Assist physician 32 27 CMS clinical
in performing review.
procedure.
L046A CT Technologist.. NF Image Post 15 7 CMS clinical
Processing. review.
SB006 drape, non- NF ................. 1 0 CMS clinical
sterile, sheet review.
40in x 60in.
SB014 drape, sterile, NF ................. 0 1 CMS clinical
three-quarter review.
sheet.
Page 49037
SC001 angiocatheter 14g- NF ................. 1 0 CMS clinical
24g. review.
SC002 angiocatheter set NF ................. 0 1 CMS clinical
review.
SC025 needle, 14-20g, NF ................. 0 1 CMS clinical
biopsy. review.
SC029 needle, 18-27g... NF ................. 1 0 CMS clinical
review.
SC059 syringe, 25ml NF ................. 0 1 CMS clinical
(MRI power review.
injector).
SG050 gauze, non- NF ................. 0 1 CMS clinical
sterile 2in x review.
2in.
SG075 tape, elastic, NF ................. 0 6 CMS clinical
1in review.
(Elastoplast,
Elasticon) (5yd
uou).
SG079 tape, surgical NF ................. 6 0 CMS clinical
paper 1in review.
(Micropore).
SH016 barium suspension NF ................. 900 0 CMS clinical
(Polibar). review.
SH065 sodium chloride NF ................. 0 15 CMS clinical
0.9% flush review.
syringe.
SH068 sodium chloride NF ................. 1 0 CMS clinical
0.9% inj review.
bacteriostatic
(30ml uou).
SK013 computer media, NF ................. 1 0 CMS clinical
dvd. review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK091 x-ray envelope... NF ................. 1 0 CMS clinical
review.
SK098 film, x-ray, NF ................. 14 8 CMS clinical
laser print. review.
74175................. Ct angio abdom w/ EL007 room, CT......... NF ................. 101 40 Refined equipment
o & w/dye. time to reflect
typical use
exclusive to
patient.
L041B Radiologic NF Retrieve prior 0 5 CMS clinical
Technologist. appropriate review.
imaging exams
and hang for MD
review, verify
orders, review
the chart to
incorporate
relevant
clinical
information.
L041B Radiologic NF Greet patient, 0 3 CMS clinical
Technologist. provide gowning, review.
assure
appropriate
medical records
are available.
L041B Radiologic NF Education/ 0 2 CMS clinical
Technologist. instruction/ review.
counseling/
obtain consent.
L041B Radiologic NF Prepare room, 0 2 Standardized time
Technologist. equipment, input.
supplies.
L041B Radiologic NF Prepare and 0 7 CMS clinical
Technologist. position patient/ review.
monitor patient/
set up IV.
L041B Radiologic NF Aquire images.... 0 28 CMS clinical
Technologist. review.
L041B Radiologic NF Clean room/ 0 3 CMS clinical
Technologist. equipment by review.
physician staff.
Page 49038
L046A CT Technologist.. NF Retrieve prior 5 0 CMS clinical
appropriate review.
imaging exams
and hang for MD
review, verify
orders, review
the chart to
incorporate
relevant
clinical
information.
L046A CT Technologist.. NF Greet patient, 3 0 CMS clinical
provide gowning, review.
assure
appropriate
medical records
are available.
L046A CT Technologist.. NF Education/ 2 0 CMS clinical
instruction/ review.
counseling/
obtain consent.
L046A CT Technologist.. NF Prepare room, 5 0 CMS clinical
equipment, review.
supplies.
L046A CT Technologist.. NF Prepare and 7 0 CMS clinical
position patient/ review.
monitor patient/
set up IV.
L046A CT Technologist.. NF Aquire images.... 28 0 CMS clinical
review.
L046A CT Technologist.. NF Clean room/ 3 0 CMS clinical
equipment by review.
physician staff.
SK016 computer media, NF ................. 1 0.1 CMS clinical
optical disk review.
2.6gb.
74176................. Ct abd & pelvis.. ED032 printer, laser, NF ................. 8 7 CMS clinical
paper. review.
ER029 film alternator NF ................. 27 7 CMS clinical
(motorized film review.
viewbox).
L046A CT Technologist.. NF Service Period... 40 39 CMS clinical
review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
74177................. Ct abd & pelv w/ ED032 printer, laser, NF ................. 10 7 CMS clinical
contrast. paper. review.
EL007 room, CT......... NF ................. 42 39 CMS clinical
review.
ER029 film alternator NF ................. 42 7 CMS clinical
(motorized film review.
viewbox).
L046A CT Technologist.. NF Pre-Service 7 6 CMS clinical
Period. review.
L046A CT Technologist.. NF Service Period... 58 52 CMS clinical
review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK098 film, x-ray, NF ................. 10 8 CMS clinical
laser print. review.
74178................. Ct abd & pelv 1/> ED032 printer, laser, NF ................. 20 10 CMS clinical
regns. paper. review.
EL007 room, CT......... NF ................. 57 48 CMS clinical
review.
ER029 film alternator NF ................. 57 10 CMS clinical
(motorized film review.
viewbox).
L046A CT Technologist.. NF Pre-Service 7 6 CMS clinical
Period. review.
L046A CT Technologist.. NF Service Period... 83 64 CMS clinical
review.
SK016 computer media, NF ................. 0 0.1 CMS clinical
optical disk review.
2.6gb.
Page 49039
SK076 slide sleeve NF ................. 0 1 CMS clinical
(photo slides). review.
SK098 film, x-ray, NF ................. 23 16 CMS clinical
laser print. review.
76830................. Transvaginal us ED024 film processor, NF ................. 5 0 CMS clinical
non-ob. dry, laser. review.
ED032 printer, laser, NF ................. 1 0 CMS clinical
paper. review.
EF027 table, NF ................. 0 36 Refined equipment
instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF034 table, ultrasound NF ................. 0 36 Refined equipment
time to reflect
typical use
exclusive to
patient.
EL015 room, ultrasound, NF ................. 37 0 CMS clinical
general. review.
EQ250 ultrasound unit, NF ................. 0 36 Refined equipment
portable. time to reflect
typical use
exclusive to
patient.
ER029 film alternator NF ................. 10 0 CMS clinical
(motorized film review.
viewbox).
ER086 ultrasound probe. NF ................. 0 37 Refined equipment
time to reflect
typical use
exclusive to
patient.
L051B RN/Diagnostic NF Clean room/ 3 2 CMS clinical
Medical equipment by review.
Sonographer. physician staff.
SB026 gown, patient.... NF ................. 0 1 CMS clinical
review.
SJ033 lubricating jelly NF ................. 1 0 CMS clinical
(Surgilube). review.
76872................. Us transrectal... EF027 table, NF ................. 68 34 Refined equipment
instrument, time to reflect
mobile. typical use
exclusive to
patient.
EF034 table, ultrasound NF ................. 68 34 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ250 ultrasound unit, NF ................. 68 34 Refined equipment
portable. time to reflect
typical use
exclusive to
patient.
ER086 ultrasound probe. NF ................. 68 35 Refined equipment
time to reflect
typical use
exclusive to
patient.
L051B RN/Diagnostic NF Retrieve prior 0 3 CMS clinical
Medical images for review.
Sonographer. comparison:.
L051B RN/Diagnostic NF Review Chart..... 3 0 CMS clinical
Medical review.
Sonographer.
L051B RN/Diagnostic NF Obtain vital 3 0 CMS clinical
Medical signs. review.
Sonographer.
L051B RN/Diagnostic NF Prepare room, 2 3 CMS clinical
Medical equipment, review.
Sonographer. supplies.
L051B RN/Diagnostic NF Prepare 5 0 CMS clinical
Medical ultrasound probe. review.
Sonographer.
L051B RN/Diagnostic NF Obtain vital 3 0 CMS clinical
Medical signs. review.
Sonographer.
Page 49040
L051B RN/Diagnostic NF Clean room/ 3 2 CMS clinical
Medical equipment by review.
Sonographer. physician staff.
SB012 drape, sterile, NF ................. 1 0 CMS clinical
for Mayo stand. review.
SC019 iv tubing NF ................. 1 0 CMS clinical
(extension). review.
SH048 lidocaine 2% NF ................. 10 0 CMS clinical
jelly, topical review.
(Xylocaine).
SJ001 alcohol isopropyl NF ................. 5 0 CMS clinical
70%. review.
SJ032 lubricating jelly NF ................. 2 0 CMS clinical
(K-Y) (5gm uou). review.
SM018 glutaraldehyde NF ................. 32 0 CMS clinical
3.4% (Cidex, review.
Maxicide,
Wavicide).
SM019 glutaraldehyde NF ................. 1 0 CMS clinical
test strips review.
(Cidex, Metrex).
SM022 sanitizing cloth- NF ................. 2 0 CMS clinical
wipe (surface, review.
instruments,
equipment).
77003................. Fluoroguide for ED025 film processor, NF ................. 3 2 Refined equipment
spine inject. wet. time to reflect
typical use
exclusive to
patient.
EL014 room, NF ................. 9 18 Refined equipment
radiographic- time to reflect
fluoroscopic. typical use
exclusive to
patient.
ER029 film alternator NF ................. 3 2 Refined equipment
(motorized film time to reflect
viewbox). typical use
exclusive to
patient.
L041B Radiologic NF Clean room/ 2 1 CMS clinical
Technologist. equipment by review.
physician staff.
L041B Radiologic NF Process films, 3 2 CMS clinical
Technologist. hang films and review.
review study
with
interpreting MD
prior to patient
discharge.
77080................. Dxa bone density ER078 phantom, spine, NF ................. 1 2 Refined equipment
axial. DXA calibration time to reflect
check. typical use
exclusive to
patient.
77301................. Radiotherapy dose ED011 computer system, NF ................. 20 0 CMS clinical
plan imrt. record and review.
verify.
ED033 treatment NF ................. 376 330 CMS clinical
planning system, review.
IMRT (Corvus w-
Peregrine 3D
Monte Carlo).
ER005 IMRT CT-based NF ................. 58 47 CMS clinical
simulator. review.
ER014 chamber, Farmer- NF ................. 45 47 Refined equipment
type. time to reflect
typical use
exclusive to
patient.
ER028 electrometer, PC- NF ................. 45 47 Refined equipment
based, dual time to reflect
channel. typical use
exclusive to
patient.
Page 49041
ER050 phantom, solid NF ................. 45 47 Refined equipment
water time to reflect
calibration typical use
check. exclusive to
patient.
ER089 IMRT accelerator. NF ................. 45 47 CMS clinical
review.
L037D RN/LPN/MTA....... NF Obtain vital 3 0 CMS clinical
signs. review.
78012................. Thyroid uptake EF010 chair, thyroid NF ................. 40 30 Refined equipment
measurement. imaging. time to reflect
typical use
exclusive to
patient.
ER063 thyroid uptake NF ................. 40 30 Refined equipment
system. time to reflect
typical use
exclusive to
patient.
78013................. Thyroid imaging w/ ER032 gamma camera NF ................. 48 38 Refined equipment
blood flow. system, single- time to reflect
dual head. typical use
exclusive to
patient.
78014................. Thyroid imaging w/ EF010 chair, thyroid NF ................. 65 55 Refined equipment
blood flow. imaging. time to reflect
typical use
exclusive to
patient.
ER032 gamma camera NF ................. 65 50 Refined equipment
system, single- time to reflect
dual head. typical use
exclusive to
patient.
ER063 thyroid uptake NF ................. 65 55 Refined equipment
system. time to reflect
typical use
exclusive to
patient.
78070................. Parathyroid ER032 gamma camera NF ................. 73 68 Refined equipment
planar imaging. system, single- time to reflect
dual head. typical use
exclusive to
patient.
78071................. Parathyrd planar ER032 gamma camera NF ................. 86 81 Refined equipment
w/wo subtrj. system, single- time to reflect
dual head. typical use
exclusive to
patient.
86153................. Cell enumeration EP106 CELLSEARCH system NF ................. 16 0 Laboratory
phys interp. physician
interpretation
code.
EP107 Laboratory NF ................. 4 0 Laboratory
Information physician
System. interpretation
code.
L045A Cytotechnologist. NF Collate images 5 0 Laboratory
and review with physician
Pathologist. interpretation
code.
88120................. Cytp urne 3-5 EP088 ThermoBrite...... NF ................. 107 321 CMS clinical
probes ea spec. review.
EP092 Olympus BX41 NF ................. 1.33 73.00 CMS clinical
Fluorescent review.
Microscope
(without filters
or camera ).
88121................. Cytp urine 3-5 EP088 ThermoBrite...... NF ................. 26.75 160.50 CMS clinical
probes cmptr. review.
EP090 IkoniLan Software NF ................. 2.97 29.70 CMS clinical
review.
EP091 IkoniScope....... NF ................. 2.97 29.70 CMS clinical
review.
88300................. Surgical path ......... courier NF ................. 2.02 0 Indirect Practice
gross. transportation Expense.
cost.
Copath System NF ................. 3 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 3 0 Indirect Practice
Expense.
Page 49042
88302................. Tissue exam by ......... specimen, NF ................. 0.18 0 Indirect Practice
pathologist. solvent, and Expense.
formalin
disposal cost.
courier NF ................. 2.02 0 Indirect Practice
transportation Expense.
cost.
equipment NF ................. 0.61 0 Included in
maintenance cost. equipment cost
per minute
calculation.
Copath System NF ................. 3 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 3 0 Indirect Practice
Expense.
88304................. Tissue exam by ......... specimen, NF ................. 0.35 0 Indirect Practice
pathologist. solvent, and Expense.
formalin
disposal cost.
courier NF ................. 2.02 0 Indirect Practice
transportation Expense.
cost.
equipment NF ................. 0.61 0 Included in
maintenance cost. equipment cost
per minute
calculation.
Copath System NF ................. 5 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 5 0 Indirect Practice
Expense.
88305................. Tissue exam by ......... specimen, NF ................. 0.35 0 Indirect Practice
pathologist. solvent, and Expense.
formalin
disposal cost.
courier NF ................. 2.02 0 Indirect Practice
transportation Expense.
cost.
equipment NF ................. 0.61 0 Included in
maintenance cost. equipment cost
per minute
calculation.
Copath System NF ................. 4 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 4 0 Indirect Practice
Expense.
88307................. Tissue exam by ......... specimen, NF ................. 1.85 0 Indirect Practice
pathologist. solvent, and Expense.
formalin
disposal cost.
courier NF ................. 2.02 0 Indirect Practice
transportation Expense.
cost.
equipment NF ................. 0.61 0 Included in
maintenance cost. equipment cost
per minute
calculation.
Copath System NF ................. 10 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 10 0 Indirect Practice
Expense.
88309................. Tissue exam by ......... specimen, NF ................. 1.85 0 Indirect Practice
pathologist. solvent, and Expense.
formalin
disposal cost.
courier NF ................. 2.02 0 Indirect Practice
transportation Expense.
cost.
equipment NF ................. 0.61 0 Included in
maintenance cost. equipment cost
per minute
calculation.
Copath System NF ................. 12 0 Indirect Practice
with maintenance Expense.
contract.
Copath software.. NF ................. 12 0 Indirect Practice
Expense.
90791................. Psych diagnostic ......... ................. NF ................. ............... ........... 2012 Fully
evaluation. Implemented PE
RVUs maintained.
90832................. Psytx pt&/family ......... ................. NF ................. ............... ........... 2012 Fully
30 minutes. Implemented PE
RVUs maintained.
Page 49043
90834................. Psytx pt&/family ......... ................. NF ................. ............... ........... 2012 Fully
45 minutes. Implemented PE
RVUs maintained.
90836................. Psytx pt&/fam w/ ......... ................. NF ................. ............... ........... 2012 Fully
e&m 45 min. Implemented PE
RVUs maintained.
91112................. Gi wireless ......... Activation NF ................. 5 0 CMS clinical
capsule measure. Fixture. review.
Docking Station.. NF ................. 40 0 CMS clinical
review.
MotiliGI software NF ................. 40 0 CMS clinical
review.
EQ352 Data receiver.... NF ................. 7,220 2,880 CMS clinical
review.
SA048 pack, minimum NF ................. 1 0 CMS clinical
multi-specialty review.
visit.
SmartBar......... NF ................. 1 0 CMS clinical
review.
92081................. Visual field SA050 pack, NF ................. 1 0 CMS clinical
examination(s). ophthalmology review.
visit (no
dilation).
EL006 lane, screening NF ................. 12 17 Refined equipment
(oph). time to reflect
typical use
exclusive to
patient.
EQ029 Humphrey field NF ................. 12 17 Refined equipment
analyzer. time to reflect
typical use
exclusive to
patient.
EQ165 lens set, trial, NF ................. 12 17 CMS clinical
full diameter, w- review.
frame.
92082................. Visual field SA050 pack, NF ................. 1 0 CMS clinical
examination(s). ophthalmology review.
visit (no
dilation).
EL006 lane, screening NF ................. 22 27 Refined equipment
(oph). time to reflect
typical use
exclusive to
patient.
EQ029 Humphrey field NF ................. 22 27 Refined equipment
analyzer. time to reflect
typical use
exclusive to
patient.
EQ165 lens set, trial, NF ................. 22 27 CMS clinical
full diameter, w- review.
frame.
92083................. Visual field SA050 pack, NF ................. 1 0 CMS clinical
examination(s). ophthalmology review.
visit (no
dilation).
EL006 lane, screening NF ................. 32 37 Refined equipment
(oph). time to reflect
typical use
exclusive to
patient.
EQ029 Humphrey field NF ................. 32 37 Refined equipment
analyzer. time to reflect
typical use
exclusive to
patient.
EQ165 lens set, trial, NF ................. 32 37 CMS clinical
full diameter, w- review.
frame.
92235................. Eye exam with ED008 camera, retinal NF ................. 60 35 Refined equipment
photos. (TRC 50IX, w- time to reflect
ICG, filters, typical use
motor drives). exclusive to
patient.
Page 49044
EF030 table, motorized NF ................. 60 35 Refined equipment
(for instruments- time to reflect
equipment). typical use
exclusive to
patient.
EL005 lane, exam (oph). NF ................. 60 35 Refined equipment
time to reflect
typical use
exclusive to
patient.
L038A COMT/COT/RN/CST.. NF Monitor pt. 5 2 CMS clinical
following review.
service/check
tubes, monitors,
drains.
L039A Certified Retinal NF Assist physician 40 20 CMS clinical
Angio. in performing review.
procedure.
93015................. Cardiovascular EF023 table, exam...... NF ................. 58 46 Refined equipment
stress test. time to reflect
typical use
exclusive to
patient.
EQ078 cardiac monitor w- NF ................. 58 46 Refined equipment
treadmill (12- time to reflect
lead PC-based typical use
ECG). exclusive to
patient.
L051A RN............... NF Assist physician 20 14 CMS clinical
in performing review.
procedure.
93017................. Cardiovascular EF023 table, exam...... NF ................. 58 46 Refined equipment
stress test. time to reflect
typical use
exclusive to
patient.
EQ078 cardiac monitor w- NF ................. 58 46 Refined equipment
treadmill (12- time to reflect
lead PC-based typical use
ECG). exclusive to
patient.
L051A RN............... NF Assist physician 20 14 CMS clinical
in performing review.
procedure.
L051A RN............... NF Complete 0 4 CMS clinical
diagnostic review.
forms, lab & X-
ray requisitions.
93925................. Lower extremity ED011 computer system, NF ................. 10 0 CMS clinical
study. record and review.
verify.
ED021 computer, NF ................. 95 7 Refined equipment
desktop, w- time to reflect
monitor. typical use
exclusive to
patient.
ED025 film processor, NF ................. 10 7 Refined equipment
wet. time to reflect
typical use
exclusive to
patient.
ED034 video SVHS VCR NF ................. 95 0 CMS clinical
(medical grade). review.
EL016 room, ultrasound, NF ................. 95 76 Refined equipment
vascular. time to reflect
typical use
exclusive to
patient.
ER067 x-ray view box, 4 NF ................. 10 7 Refined equipment
panel. time to reflect
typical use
exclusive to
patient.
L054A Vascular NF Provide pre- 3 2 CMS clinical
Technologist. service review.
education/obtain
consent.
L054A Vascular NF Prepare room, 3 2 Standardized time
Technologist. equipment, input.
supplies.
Page 49045
L054A Vascular NF Prepare and 3 2 Standardized time
Technologist. position patient. input.
L054A Vascular NF Other Clinical 10 7 CMS clinical
Technologist. Activity: review.
Collate
preliminary
data, arrange
images, archive.
L054A Vascular NF Other Clinical 1 0 CMS clinical
Technologist. Activity: Record review.
patient history.
L054A Vascular NF Other Clinical 4 0 CMS clinical
Technologist. Activity: QA review.
documentation.
SK086 video tape, VHS.. NF ................. 1 0 CMS clinical
review.
93926................. Lower extremity ED011 computer system, NF ................. 10 0 CMS clinical
study. record and review.
verify.
ED021 computer, NF ................. 59 4 Refined equipment
desktop, w- time to reflect
monitor. typical use
exclusive to
patient.
ED025 film processor, NF ................. 10 4 Refined equipment
wet. time to reflect
typical use
exclusive to
patient.
ED034 video SVHS VCR NF ................. 59 0 CMS clinical
(medical grade). review.
EL016 room, ultrasound, NF ................. 59 42 Refined equipment
vascular. time to reflect
typical use
exclusive to
patient.
ER067 x-ray view box, 4 NF ................. 10 4 Refined equipment
panel. time to reflect
typical use
exclusive to
patient.
L054A Vascular NF Provide pre- 3 2 CMS clinical
Technologist. service review.
education/obtain
consent.
L054A Vascular NF Prepare room, 3 2 Standardized time
Technologist. equipment, input.
supplies.
L054A Vascular NF Prepare and 3 2 Standardized time
Technologist. position patient. input.
L054A Vascular NF Other Clinical 8 4 CMS clinical
Technologist. Activity: review.
Collate
preliminary
data, arrange
images, archive.
L054A Vascular NF Other Clinical 1 0 CMS clinical
Technologist. Activity: Record review.
patient history.
L054A Vascular NF Other Clinical 4 0 CMS clinical
Technologist. Activity: QA review.
documentation.
SK086 video tape, VHS.. NF ................. 1 0 CMS clinical
review.
93970................. Extremity study.. ED011 computer system, NF ................. 10 0 CMS clinical
record and review.
verify.
ED021 computer, NF ................. 71 7 Refined equipment
desktop, w- time to reflect
monitor. typical use
exclusive to
patient.
ED025 film processor, NF ................. 10 7 Refined equipment
wet. time to reflect
typical use
exclusive to
patient.
ED034 video SVHS VCR NF ................. 71 0 CMS clinical
(medical grade). review.
Page 49046
EL016 room, ultrasound, NF ................. 71 52 Refined equipment
vascular. time to reflect
typical use
exclusive to
patient.
ER067 x-ray view box, 4 NF ................. 10 7 Refined equipment
panel. time to reflect
typical use
exclusive to
patient.
L054A Vascular NF Provide pre- 3 2 CMS clinical
Technologist. service review.
education/obtain
consent.
L054A Vascular NF Prepare room, 3 2 Standardized time
Technologist. equipment, input.
supplies.
L054A Vascular NF Prepare and 3 2 Standardized time
Technologist. position patient. input.
L054A Vascular NF Other Clinical 10 7 CMS clinical
Technologist. Activity: review.
Collate
preliminary
data, arrange
images, archive.
L054A Vascular NF Other Clinical 1 0 CMS clinical
Technologist. Activity: Record review.
patient history.
L054A Vascular NF Other Clinical 4 0 CMS clinical
Technologist. Activity: QA review.
documentation.
SK086 video tape, VHS.. NF ................. 1 0 CMS clinical
review.
93971................. Extremity study.. ED011 computer system, NF ................. 10 0 CMS clinical
record and review.
verify.
ED021 computer, NF ................. 45 4 Refined equipment
desktop, w- time to reflect
monitor. typical use
exclusive to
patient.
ED025 film processor, NF ................. 10 4 Refined equipment
wet. time to reflect
typical use
exclusive to
patient.
ED034 video SVHS VCR NF ................. 45 0 CMS clinical
(medical grade). review.
EL016 room, ultrasound, NF ................. 45 30 CMS clinical
vascular. review.
ER067 x-ray view box, 4 NF ................. 10 4 Refined equipment
panel. time to reflect
typical use
exclusive to
patient.
L054A Vascular NF Provide pre- 3 2 CMS clinical
Technologist. service review.
education/obtain
consent.
L054A Vascular NF Prepare room, 3 2 Standardized time
Technologist. equipment, input.
supplies.
L054A Vascular NF Prepare and 3 2 Standardized time
Technologist. position patient. input.
L054A Vascular NF Other Clinical 6 4 CMS clinical
Technologist. Activity: review.
Collate
preliminary
data, arrange
images, archive.
L054A Vascular NF Other Clinical 1 0 CMS clinical
Technologist. Activity: Record review.
patient history.
L054A Vascular NF Other Clinical 4 0 CMS clinical
Technologist. Activity: QA review.
documentation.
SB006 drape, non- NF ................. 2 1 CMS clinical
sterile, sheet review.
40in x 60in.
SK086 video tape, VHS.. NF ................. 1 0 CMS clinical
review.
Page 49047
95076................. Ingest challenge EF023 table, exam...... NF ................. 141 133 Refined equipment
ini 120 min. time to reflect
typical use
exclusive to
patient.
EQ168 light, exam...... NF ................. 141 133 Refined equipment
time to reflect
typical use
exclusive to
patient.
L037D RN/LPN/MTA....... NF Prepare testing 15 7 CMS clinical
doses. review.
95115................. Immunotherapy one EF040 refrigerator, NF ................. 15 0 CMS clinical
injection. vaccine, review.
commercial
grade, w-alarm
lock.
95117................. Immunotherapy EF041 x-ray machine, NF ................. 17 0 CMS clinical
injections. portable. review.
95782................. Polysom paramtrs. (hospital bed, time to reflect
table, reclining typical use
chair). exclusive to
patient.
Crib............. NF ................. 660 0 CMS clinical
review.
EQ134 impedance meter, NF ................. 660 602 Refined equipment
32-channel. time to reflect
typical use
exclusive to
patient.
EQ272 sleep diagnostic NF ................. 660 662 Refined equipment
system, attended time to reflect
(w-acquisition typical use
station, review exclusive to
master, patient.
computer).
Capnograph....... NF ................. 660 0 Duplicative.
ER088 Infrared NF ................. 660 602 Refined equipment
illuminator. time to reflect
typical use
exclusive to
patient.
L047B REEGT............ NF Provide pre- 5 3 CMS clinical
service review.
education/obtain
consent.
L047B REEGT............ NF Other Clinical 6 5 CMS clinical
Activity--specif review.
y: Set up and
calibrate all
monitoring and
recording
equipment
(initial),
including
capnograph (for
child).
L047B REEGT............ NF Other Clinical 30 20 CMS clinical
Activity--specif review.
y: Measure and
mark head and
face. Apply and
secure
electrodes to
head and face.
Check
impedances.
Reapply
electrodes as
needed. (1.5 min
per electrode
for child, 1 min
per electrode
for adult).
Page 49048
L047B REEGT............ NF Other Clinical 0 15 CMS clinical
Activity--specif review.
y: Apply
recording
devices for
cardio-
respiratory, leg
movements, body
positioning and
snoring.
L047B REEGT............ NF Other Clinical 20 0 CMS clinical
Activity--specif review.
y: Apply
recording
devices for
cardio-
respiratory, leg
movements, body
positioning,
snoring and
capnography.
L047B REEGT............ NF Other Clinical 100 97 CMS clinical
Activity--specif review.
y: Daytime tech
reviews and
edits recording,
marks artifacts,
scores sleep
stages, performs
evaluation of
physiological
changes.
95783................. Polysom L037A Electrodiagnostic NF ................. 87 70 Conforming to
nrv cnd test. Technologist. physician time.
SG051 gauze, non- NF ................. 0 26 CMS clinical
sterile 4in x review.
4in.
SG055 gauze, sterile NF ................. 26 0 CMS clinical
4in x 4in. review.
SG079 tape, surgical NF ................. 78 0 CMS clinical
paper 1in review.
(Micropore).
SJ022 electrode skin NF ................. 100 0 CMS clinical
prep gel review.
(NuPrep).
95921................. Autonomic nrv EF032 table, tilt (w- NF ................. 64 55 Refined equipment
parasym inervj. trendelenberg). time to reflect
typical use
exclusive to
patient.
EQ051 arterial NF ................. 64 55 Refined equipment
tonometry time to reflect
acquisition typical use
system (WR exclusive to
Testworks). patient.
EQ052 arterial NF ................. 64 55 Refined equipment
tonometry time to reflect
monitor (Colin typical use
Pilot). exclusive to
patient.
L037A Electrodiagnostic NF Greet patient, 3 0 CMS clinical
Technologist. provide gowning, review.
assure
appropriate
medical records
are available.
L037A Electrodiagnostic NF Obtain vital 3 0 CMS clinical
Technologist. signs. review.
L037A Electrodiagnostic NF Monitor pt. 5 2 CMS clinical
Technologist. following review.
service/check
tubes, monitors,
drains.
95922................. Autonomic nrv EF032 table, tilt (w- NF ................. 79 70 Refined equipment
adrenrg inervj. trendelenberg). time to reflect
typical use
exclusive to
patient.
EQ051 arterial NF ................. 79 70 Refined equipment
tonometry time to reflect
acquisition typical use
system (WR exclusive to
Testworks). patient.
EQ052 arterial NF ................. 79 70 Refined equipment
tonometry time to reflect
monitor (Colin typical use
Pilot). exclusive to
patient.
L037A Electrodiagnostic NF Greet patient, 3 0 CMS clinical
Technologist. provide gowning, review.
assure
appropriate
medical records
are available.
L037A Electrodiagnostic NF Obtain vital 3 0 CMS clinical
Technologist. signs. review.
L037A Electrodiagnostic NF Monitor pt. 5 2 CMS clinical
Technologist. following review.
service/check
tubes, monitors,
drains.
95923................. Autonomic nrv EQ035 QSART acquisition NF ................. 74 61 Refined equipment
syst funj test. system (Q-Sweat). time to reflect
typical use
exclusive to
patient.
Page 49052
EQ124 stimulator, NF ................. 74 61 Refined equipment
constant time to reflect
current, w- typical use
stimulating and exclusive to
grounding patient.
electrodes
(Grass
Telefactor).
EQ171 light, infra-red, NF ................. 74 61 Refined equipment
ceiling mount. time to reflect
typical use
exclusive to
patient.
L037A Electrodiagnostic NF Assist physician 55 45 CMS clinical
Technologist. in performing review.
procedure.
L037A Electrodiagnostic NF Monitor pt. 5 2 CMS clinical
Technologist. following review.
service/check
tubes, monitors,
drains.
SJ020 electrode NF ................. 5 0 CMS clinical
conductive gel. review.
95924................. Ans parasymp & EF032 table, tilt (w- NF ................. 79 76 Refined equipment
symp w/tilt. trendelenberg). time to reflect
typical use
exclusive to
patient.
EQ051 arterial NF ................. 79 76 Refined equipment
tonometry time to reflect
acquisition typical use
system (WR exclusive to
Testworks). patient.
EQ052 arterial NF ................. 79 76 Refined equipment
tonometry time to reflect
monitor (Colin typical use
Pilot). exclusive to
patient.
L037A Electrodiagnostic NF Monitor pt. 5 2 CMS clinical
Technologist. following review.
service/check
tubes, monitors,
drains.
96920................. Laser tx skin 500 sq cm. time to reflect
typical use
exclusive to
patient.
EQ161 laser, excimer... NF ................. 33 39 Refined equipment
time to reflect
typical use
exclusive to
patient.
EQ168 light, exam...... NF ................. 30 39 Refined equipment
time to reflect
typical use
exclusive to
patient.
Annual Laser NF ................. 1 0 Included in
Service Package. equipment cost
per minute
calculation.
L037D RN/LPN/MTA....... NF Monitor pt. 3 1 CMS clinical
following review.
service/check
tubes, monitors,
drains.
L037D RN/LPN/MTA....... NF Clean room/ 3 2 CMS clinical
equipment by review.
physician staff.
SF028 laser tip (single NF ................. 1 0 CMS clinical
use). review.
97150................. Group therapeutic EQ248 ultrasonic NF ................. 10 5 Refined equipment
procedures. biometry, time to reflect
pachymeter. typical use
exclusive to
patient.
EQ269 blood pressure NF ................. 1 0 CMS clinical
monitor, review.
ambulatory, w-
battery charger.
SA007 kit, cooking NF ................. 1 0 CMS clinical
activity review.
ingredients (mac-
cheese).
99495................. Trans care mgmt L042A RN/LPN........... F Communication 0 45 CMS clinical
14 day disch. (with patient, review.
family members,
guardian or
caretaker,
surrogate
decision makers,
and/or other
professionals)
regarding
aspects of care,
etc..
Page 49054
99496................. Trans care mgmt 7 L042A RN/LPN........... NF Communication 60 70 CMS clinical
day disch. (with patient, review.
family members,
guardian or
caretaker,
surrogate
decision makers,
and/or other
professionals)
regarding
aspects of care,
etc..
L042A RN/LPN........... F Communication 0 70 CMS clinical
(with patient, review.
family members,
guardian or
caretaker,
surrogate
decision makers,
and/or other
professionals)
regarding
aspects of care,
etc..
--------------------------------------------------------------------------------------------------------------------------------------------------------
17. On page 69138,
-
Top two thirds of the page, first column, first full paragraph, line 1, the phrase ``The CY 2013 PFS CF is $25.0008'' is corrected to read ``The CY 2013 PFS CF is $25.0070.''
-
Third column, first full paragraph, line 19, the phrase CF to be $25.0008'' is corrected to read ``CF to be $25.0070.''
-
Lower half of the page, in Table 87: Calculation of the CY 2013 PFS CF, the list entry
------------------------------------------------------------------------
------------------------------------------------------------------------
CY 2013 Conversion Factor.............. .............. $25.0008
------------------------------------------------------------------------
is corrected to read as follows:
------------------------------------------------------------------------
------------------------------------------------------------------------
CY 2013 Conversion Factor.............. .............. $25.0070
------------------------------------------------------------------------
18. On page 69139, top quarter of the page, in Table 88: Calculation of the CY 2013 Anesthesia CF, the list entry
------------------------------------------------------------------------
------------------------------------------------------------------------
CY 2013 Anesthesia Factor.............. .............. $15.93
------------------------------------------------------------------------
is corrected to read as follows:
------------------------------------------------------------------------
------------------------------------------------------------------------
CY 2013 Anesthesia Factor.............. .............. $16.1236
------------------------------------------------------------------------
19. On page 69145, second column, first partial paragraph, lines 20 and 21, the phrase that reads ``pharmacy for use upon a physician's order'' is corrected to read ``pharmacy for use upon a valid prescription.''
20. On page 69212, second column, first full paragraph, lines 5-8, the phrase ``Measure 190: Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness'' is corrected to read ``Measure 190: Referral for Otologic Evaluation for Patients with a History of Sudden or Rapidly Progressive Hearing Loss.''
21. On page 69237, in Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, Measures 189 and 190 are deleted.
22. On page 69267, after Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, the following note is added:
*Measures that can be reported using the GPRO web interface.
daggerThese measures can only be reported by participants using the GPRO. They are not available for reporting for individual Eligible Professionals using this reporting method.
yen Titles and descriptions in this table are aligned with 2013 Physician Quality Reporting System Claims and Qualified Registry measure titles and descriptions, and may differ from existing measures in other programs. Please reference the National Quality Forum (NQF) and
Page 49055
Physician Quality Reporting System numbers for clarification.
diamMeasures to be deleted in 2014.
DaggerMeasures to be added in 2013.
cirMeasures to be added in 2014.
23. On page 69269, in Table 96: PQRS Quality Measures Available for Reporting for Group Practices Using the GPRO Web Interface for 2013 and Beyond, in the Measure and Title description for NQF/PQRS 0097/46 the phrase that reads ``seen within 60 days following discharge'' is corrected to read ``seen within 30 days following discharge.''
24. On page 69277, in Table 108: HIV/AIDS Measures Group, the following measures: HIV/AIDS Measures Group: PQRS Measure 206 (``HIV/AIDS: Screening for High Risk Sexual Behaviors'') and 207 (``HIV/AIDS: Screening for Injection Drug Use'') are deleted.
25. On page 69300,
-
Third column, line 22-23, the phrase ``a deadline of February 28, 2013 to request an informal review'' is corrected to read ``a deadline of 90 days following the receipt of the feedback reports to request an informal review.''
-
Lines 27-28, the phrase ``a deadline of February 28, 2014 to request an informal review'' is corrected to read ``a deadline of 90 days following the receipt of the feedback reports to request an informal review.''
26. On pages 69344 through 69345, we are correcting Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty* and the first footnote (*) that reads: *Table 83 shows only the final payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.'' to read as follows:
Table 134--CY 2013 Final Rule With Comment Period Estimated Impact on Total Allowed Charges by Specialty *
Estimated impact for RVU changes *
----------------------------------------------------------------------------------------------------------------
Impact of work
Specialty Allowed and MP RVU Impact of PE Combined
charges (mil) changes % RVU changes % impact %
(A) (B) (C) (D) (E)
----------------------------------------------------------------------------------------------------------------
TOTAL........................................... $86,384 0 0 0
01-ALLERGY/IMMUNOLOGY........................... 200 0 2 2
02-ANESTHESIOLOGY............................... 1,817 0 2 2
03-CARDIAC SURGERY.............................. 369 0 -1 -1
04-CARDIOLOGY................................... 6,733 -1 -2 -2
05-COLON AND RECTAL SURGERY..................... 153 0 2 2
06-CRITICAL CARE................................ 263 0 1 1
07-DERMATOLOGY.................................. 3,024 0 0 0
08-EMERGENCY MEDICINE........................... 2,839 0 0 0
09-ENDOCRINOLOGY................................ 437 0 1 1
10-FAMILY PRACTICE.............................. 5,943 2 5 7
11-GASTROENTEROLOGY............................. 1,896 0 0 0
12-GENERAL PRACTICE............................. 587 0 1 1
13-GENERAL SURGERY.............................. 2,283 0 1 1
14-GERIATRICS................................... 220 1 3 5
15-HAND SURGERY................................. 135 0 1 1
16-HEMATOLOGY/ONCOLOGY.......................... 1,909 0 2 2
17-INFECTIOUS DISEASE........................... 629 0 1 1
18-INTERNAL MEDICINE............................ 11,163 1 3 5
19-INTERVENTIONAL PAIN MGMT..................... 538 0 1 1
20-INTERVENTIONAL RADIOLOGY..................... 204 0 -2 -3
21-MULTISPECIALTY CLINIC/OTHER PHY.............. 81 0 0 0
22-NEPHROLOGY................................... 2,080 0 0 0
23-NEUROLOGY.................................... 1,604 -2 -5 -7
24-NEUROSURGERY................................. 687 0 0 0
25-NUCLEAR MEDICINE............................. 49 0 -2 -3
27-OBSTETRICS/GYNECOLOGY........................ 704 0 0 0
28-OPHTHALMOLOGY................................ 5,645 -3 0 -3
29-ORTHOPEDIC SURGERY........................... 3,643 0 0 0
30-OTOLARNGOLOGY................................ 1,076 0 2 2
31-PATHOLOGY.................................... 1,210 0 -6 -6
32-PEDIATRICS................................... 65 1 3 3
33-PHYSICAL MEDICINE............................ 999 -1 -3 -4
34-PLASTIC SURGERY.............................. 356 0 1 1
35-PSYCHIATRY................................... 1,170 -1 3 2
36-PULMONARY DISEASE............................ 1,703 0 1 1
37-RADIATION ONCOLOGY........................... 1,988 0 -7 -7
38-RADIOLOGY.................................... 4,818 0 -3 -3
39-RHEUMATOLOGY................................. 548 0 0 0
40-THORACIC SURGERY............................. 343 0 -1 -1
41-UROLOGY...................................... 1,918 0 -1 -2
42-VASCULAR SURGERY............................. 888 0 -2 -2
43-AUDIOLOGIST.................................. 57 0 -4 -4
44-CHIROPRACTOR................................. 746 0 1 1
45-CLINICAL PSYCHOLOGIST........................ 575 1 -3 -2
46-CLINICAL SOCIAL WORKER....................... 406 1 -3 -2
Page 49056
47-DIAGNOSTIC TESTING FACILITY.................. 888 0 -7 -7
48-INDEPENDENT LABORATORY....................... 1,073 0 -14 -14
49-NURSE ANES/ANES ASST......................... 1,008 0 2 2
50-NURSE PRACTITIONER........................... 1,623 1 3 4
51-OPTOMETRY.................................... 1,061 -1 1 1
52-ORAL/MAXILLOFACIAL SURGERY................... 45 0 1 1
53-PHYSICAL/OCCUPATIONAL THERAPY................ 2,636 0 4 4
54-PHYSICIAN ASSISTANT.......................... 1,229 1 2 3
55-PODIATRY..................................... 1,925 0 2 2
56-PORTABLE X-RAY SUPPLIER...................... 106 0 5 5
57-RADIATION THERAPY CENTERS.................... 72 0 -9 -9
98-OTHER........................................ 19 0 1 1
----------------------------------------------------------------------------------------------------------------
* Table 134 shows only the final payment policy impact on PFS services. We note that these impacts do not
include the effects of the negative January 2013 conversion factor change under current law.
27. On pages 69347 through 69348, we are correcting Table 135: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy* and the text in the first footnote (*) for Table 135 that reads ``*Table 135 shows only the proposed payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.'' to read as follows:
Table 135--CY 2013 PFS Final Rule With Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy* Estimated Impact for
RVU Changes*
--------------------------------------------------------------------------------------------------------------------------------------------------------
New, revised,
potentially
misvalued Updated Input changes
Allowed Impact of end codes, MPPR, equipment Transitional for certain Total
Specialty charges (mil) of PPIS new interest rate care radiation (cumulative
transition % utilization assumption % management % therapy impact) %
and other procedures %
factors %
(A) (B) (C) (D) (E) (F) (G) (H)
--------------------------------------------------------------------------------------------------------------------------------------------------------
TOTAL................................... 86,384 0 0 0 0 0 0
01-ALLERGY/IMMUNOLOGY................... 200 0 0 2 0 0 2
02-ANESTHESIOLOGY....................... 1,817 1 1 0 0 0 2
03-CARDIAC SURGERY...................... 369 -1 0 0 0 0 -1
04-CARDIOLOGY........................... 6,733 -2 0 0 -1 0 -2
05-COLON AND RECTAL SURGERY............. 153 1 0 0 0 0 2
06-CRITICAL CARE........................ 263 0 0 0 0 0 1
07-DERMATOLOGY.......................... 3,024 0 0 1 -1 0 0
08-EMERGENCY MEDICINE................... 2,839 0 0 0 0 0 0
09-ENDOCRINOLOGY........................ 437 1 1 0 -1 0 1
10-FAMILY PRACTICE...................... 5,943 1 1 0 4 0 7
11-GASTROENTEROLOGY..................... 1,896 0 0 0 0 0 0
12-GENERAL PRACTICE..................... 587 1 0 0 -1 0 1
13-GENERAL SURGERY...................... 2,283 1 0 0 0 0 1
14-GERIATRICS........................... 220 1 1 0 2 0 5
15-HAND SURGERY......................... 135 1 0 0 -1 0 1
16-HEMATOLOGY/ONCOLOGY.................. 1,909 -1 3 1 -1 0 2
17-INFECTIOUS DISEASE................... 629 1 1 0 0 0 1
18-INTERNAL MEDICINE.................... 11,163 1 1 0 3 0 5
19-INTERVENTIONAL PAIN MGMT............. 538 1 0 0 -1 0 1
20-INTERVENTIONAL RADIOLOGY............. 204 -2 0 0 0 0 -3
21-MULTISPECIALTY CLINIC/OTHER PHY...... 81 0 0 0 0 0 0
22-NEPHROLOGY........................... 2,080 0 0 0 0 0 0
23-NEUROLOGY............................ 1,604 1 -8 0 0 0 -7
24-NEUROSURGERY......................... 687 0 0 0 0 0 0
25-NUCLEAR MEDICINE..................... 49 -2 0 -1 0 0 -3
27-OBSTETRICS/GYNECOLOGY................ 704 0 0 0 -1 0 0
28-OPHTHALMOLOGY........................ 5,645 2 -4 0 0 0 -3
29-ORTHOPEDIC SURGERY................... 3,643 1 0 0 0 0 0
30-OTOLARNGOLOGY........................ 1,076 1 1 1 -1 0 2
31-PATHOLOGY............................ 1,210 -1 -5 0 0 0 -6
32-PEDIATRICS........................... 65 1 0 0 3 0 3
33-PHYSICAL MEDICINE.................... 999 1 -5 0 -1 0 -4
Page 49057
34-PLASTIC SURGERY...................... $356 1 0 0 0 0 1
35-PSYCHIATRY........................... 1,170 0 2 0 -1 0 2
36-PULMONARY DISEASE.................... 1,703 0 1 0 -1 0 1
37-RADIATION ONCOLOGY................... 1,988 -4 2 -3 -1 -1 -7
38-RADIOLOGY............................ 4,818 -2 0 -1 0 0 -3
39-RHEUMATOLOGY......................... 548 0 1 0 -1 0 0
40-THORACIC SURGERY..................... 343 -1 0 0 0 0 -1
41-UROLOGY.............................. 1,918 -2 0 0 -1 0 -2
42-VASCULAR SURGERY..................... 888 -1 -1 0 0 0 -2
43-AUDIOLOGIST.......................... 57 -3 0 0 0 0 -4
44-CHIROPRACTOR......................... 746 1 0 0 0 0 1
45-CLINICAL PSYCHOLOGIST................ 575 -2 1 0 0 0 -2
46-CLINICAL SOCIAL WORKER............... 406 -2 0 0 0 0 -2
47-DIAGNOSTIC TESTING FACILITY.......... 888 -5 0 -2 -1 0 -7
48-INDEPENDENT LABORATORY............... 1,073 -2 -12 1 -1 0 -14
49-NURSE ANES/ANES ASST................. 1,008 2 0 0 0 0 2
50-NURSE PRACTITIONER................... 1,623 1 1 0 2 0 4
51-OPTOMETRY............................ 1,061 2 -1 0 0 0 1
52-ORAL/MAXILLOFACIAL SURGERY........... 45 1 0 1 -1 0 1
53-PHYSICAL/OCCUPATIONAL THERAPY........ 2,636 2 2 0 0 0 4
54-PHYSICIAN ASSISTANT.................. 1,229 1 0 0 2 0 3
55-PODIATRY............................. 1,925 2 0 1 -1 0 2
56-PORTABLE X-RAY SUPPLIER.............. 106 1 4 1 -1 0 5
57-RADIATION THERAPY CENTERS............ 72 -5 4 -5 -1 -1 -9
98-OTHER................................ 19 1 0 0 0 0 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
``*Table 135 shows only the final payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January
2013 conversion factor change under current law.''
28. On pages 69350 through 69351, we are correcting Table 136 Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures* to read as follows:
Page 49058
GRAPHIC TIFF OMITTED TR12AU13.000
Page 49059
GRAPHIC TIFF OMITTED TR12AU13.001
29. On page 69351,
-
Footnote 3 ``Payments based on the 2012 conversion factor of 34.0376, adjusted to 34.0066 to include the budget neutrality adjustment'' is corrected to read ``Payments based on the 2012 conversion factor of 34.0376, adjusted to 34.0230 to include the budget neutrality adjustment.''
-
Footnote 4 for Table 136 ``Payments based on the 2013 conversion factor of 25.0008, which includes the budget neutrality adjustment'' is corrected to read ``Payments based on the 2013 conversion factor of 25.0070, which includes the budget neutrality adjustment.''
(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: August 2, 2013.
Jennifer M. Cannistra,
Executive Secretary to the Department, Department of Health and Human Services.
FR Doc. 2013-19378 Filed 8-9-13; 8:45 am
BILLING CODE 4120-01-P
-
